Individual
MRS. KATRINA H BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
152 CARSON ST, PHILADELPHIA, PA 19127-1303
(901) 605-6779
Mailing address
152 CARSON ST, PHILADELPHIA, PA 19127-1303
(901) 605-6779
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1693
MS
101Y00000X
Counselor
266674
KY
101Y00000X
Counselor
A1411156
AR
101Y00000X
Counselor
Primary
PC008924
PA
Other
Enumeration date
07/20/2010
Last updated
10/06/2023
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