Individual
BROOKE DENICE GERTLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CG 60667012
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG60667012
WA
Other
Enumeration date
12/21/2020
Last updated
03/10/2025
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