Individual
MS. KATHERINE WINGATE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS/MS/MDIV
Contact information
Practice address
305 CITIZEN CIR, CHESAPEAKE, VA 23325-4803
(757) 816-4785
(757) 493-3635
Mailing address
305 CITIZEN CIR, CHESAPEAKE, VA 23325-4803
(757) 816-4785
(757) 493-3635
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103323975
—
VA
Enumeration date
05/03/2016
Last updated
05/03/2016
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