Individual
BROOKE CLAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 E GENESEE ST STE 1, AUBURN, NY 13021-4068
(315) 253-9795
Mailing address
550 WARREN ST APT 11B, FAYETTEVILLE, NY 13066-2162
(315) 412-9143
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P129328
NY
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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