Individual
KEYSHA DENNE BROOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2101 S COLLEGE AVE APT 208, PHILADELPHIA, PA 19121-4858
(267) 688-6073
Mailing address
2101 S COLLEGE AVE APT 208, PHILADELPHIA, PA 19121-4858
(267) 688-6073
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW140916
PA
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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