Individual
BROOKLYN V COLLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
3444 CUMBERLAND HWY, CORBIN, KY 40701-9056
(606) 872-4128
Mailing address
1752 MCWHORTER RD, LONDON, KY 40741-8707
(606) 872-4128
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1206801
KY
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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