Individual
JUDITH SPENCER BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
5009 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-3041
(952) 944-9276
Mailing address
6932 W 83RD ST, BLOOMINGTON, MN 55438-1239
(952) 944-9276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
01469
MN
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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