Individual
MRS. LAURA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 MACKENAN DR, CARY, NC 27511-7903
(919) 371-2848
Mailing address
831 MILLBROOK RD, CHARLOTTE, NC 28211-1591
(908) 489-0778
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18779
NC
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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