Individual
ANITA T BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
854 WASHINGTON AVE, HOLLAND, MI 49423-7144
(616) 392-5141
Mailing address
602 MICHIGAN AVE, HOLLAND, MI 49423-4918
(616) 392-5141
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007772
MI
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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