Individual
EBONIE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6417 ODANA RD, SUITE 5, MADISON, WI 53719
(608) 268-6530
Mailing address
6417 ODANA RD, SUITE 5, MADISON, WI 53719
(608) 268-6530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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