Individual
BROOKE M ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 SUSQUEHANNA AVE, LINCOLN PARK, NJ 07035-2235
(973) 865-8950
Mailing address
201 SUSQUEHANNA AVE, LINCOLN PARK, NJ 07035-2235
(973) 865-8950
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00770900
NJ
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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