Individual
SHANTAE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31300 NORTHWESTERN HWY STE A, FARMINGTON HILLS, MI 48334-5407
(248) 254-3318
Mailing address
870 SHERBOURNE ST, INKSTER, MI 48141-1300
(313) 614-8940
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704298442
MI
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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