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Contact Information

MARY I BROOKS, LCSW
700 S FAIRFIELD DR
PEACHTREE CITY, GA30269
 Phone: 662-341-2694
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARY I BROOKS · (Female)

NPI # 1346754215
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 11/29/2017
Last updated 07/22/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 14189
  • GA License # CSW006414
  • NH License # 2144
  • NJ License # 44SC05909900
  • OH License # I.1800895-SUPV
  • TN License # 7400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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