Individual
BROOKE DEGROAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 COUNTY ROAD 43 #A STE 7, BAILEY, CO 80421-2053
(719) 572-6100
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.00002064
CO
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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