Individual
SANDRA LEE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1366 SUBLETTE ST, ROCK SPRINGS, WY 82901-7328
(307) 362-9229
Mailing address
1366 SUBLETTE ST, ROCK SPRINGS, WY 82901-7328
(307) 362-9229
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
07/09/2007
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