Individual
BROOKLYN JESSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 W 13TH ST N APT 810, WICHITA, KS 67203-4428
(316) 799-9055
Mailing address
3801 W 13TH ST N APT 810, WICHITA, KS 67203-4428
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
KS
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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