Individual
BROOKE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
285 LEXINGTON AVE FL 2A, NEW YORK, NY 10016-3592
(646) 494-4878
Mailing address
159 MADISON AVE APT 9D, NEW YORK, NY 10016-5436
(240) 446-5069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
090447
NY
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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