Individual
BROOKE ELIZABETH ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
110 W 1ST ST, TUSCUMBIA, AL 35674-1934
(205) 362-1719
Mailing address
110 W 1ST ST, TUSCUMBIA, AL 35674-1934
(205) 362-1719
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4546C
AL
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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