Individual
MS. TANYA MARIE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.T.
Contact information
Practice address
414 2ND AVE, DIXON, IL 61021-1910
(815) 284-2821
Mailing address
414 2ND AVE, DIXON, IL 61021-1910
(815) 284-2821
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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