Individual
BROOKE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
32 PEPPERMINT RD, COMMACK, NY 11725
(516) 641-2101
Mailing address
32 PEPPERMINT RD, COMMACK, NY 11725
(516) 641-2101
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
086523
NY
1041C0700X
Clinical Social Worker
Primary
095204
NY
Other
Enumeration date
08/21/2012
Last updated
05/23/2023
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