Individual
BROOK MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 4TH AVE, MONTGOMERY, WV 25136-2106
(304) 981-2361
Mailing address
107 N 2ND ST, BECKLEY, WV 25801-3731
(304) 981-2361
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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