Individual
DANIELE LATRECE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAED, MSW, LMSW
Contact information
Practice address
3515 W MARKET ST STE 120, GREENSBORO, NC 27403-4441
(336) 323-2660
Mailing address
3515 W MARKET ST STE 120, GREENSBORO, NC 27403-4441
(336) 323-2660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000008056
TN
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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