Individual
LAKISHA YVETTE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
104 WHITING WAY STE 110, WARNER ROBINS, GA 31088-8054
(478) 220-9865
(478) 220-7491
Mailing address
1412A RUSSELL PKWY # 219, WARNER ROBINS, GA 31088-5583
(478) 220-9865
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11294
MD
1041C0700X
Clinical Social Worker
5001
TX
1041C0700X
Clinical Social Worker
Primary
CSW004558
GA
Other
Enumeration date
08/29/2006
Last updated
05/01/2024
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