Individual
JUDITH KRISTYN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2320 LAKESHORE DR, WACO, TX 76708
(254) 752-1075
Mailing address
9000 CHAPEL RD #5204, WACO, TX 76712
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
54384
TX
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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