Individual
MARGIE A BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
123 MADEIRA DR SE, ALBUQUERQUE, NM 87108-2963
(505) 262-1536
(505) 243-5342
Mailing address
123 MADEIRA DR SE, ALBUQUERQUE, NM 87108-2963
(505) 262-1536
(505) 243-5342
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0063131
NM
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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