Individual
MR. ROBERT BARNARD BROOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1294 18TH ST E, HASTINGS, MN 55033-3680
(651) 888-4454
(651) 437-6161
Mailing address
1294 18TH ST E, HASTINGS, MN 55033-3680
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302074
MN
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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