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Individual

JAMES EARL BROOKS I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S

Contact information

Practice address
523 CLARK ST, SOUTH BELOIT, IL 61080-1317
(779) 770-9713
Mailing address
2240 PRAIRIE AVE, BELOIT, WI 53511-2648
(608) 361-7200
(608) 361-7201

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
06/23/2020
Last updated
06/23/2020
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