Individual
MR. BRIAN FREDERICK BROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
57418 CR 681, SUITE B, HARTFORD, MI 49057
(269) 621-6261
(269) 621-6044
Mailing address
PO BOX 249, 801 HAZEN STREET SUITE C, PAW PAW, MI 49079-0249
(269) 657-5574
(269) 657-3474
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801060843
MI
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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