Individual
MRS. TIFFANY DELOATCH BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSWA
Contact information
Practice address
622 ROANOKE AVE STE C, ROANOKE RAPID, NC 27870-2740
(252) 541-3833
Mailing address
1325 ABBITT RD, WILLIAMSTON, NC 27892-9660
(757) 707-5581
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P016129
NC
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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