Individual
BROOKE A GARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E LINCOLN HWY STE 102, NEW LENOX, IL 60451-1993
(779) 707-3717
Mailing address
400 E LINCOLN HWY STE 102, NEW LENOX, IL 60451-1993
(779) 707-3717
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149023169
IL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/09/2018
Last updated
08/22/2023
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