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MARY CAMPBELL BROOKER LICSW, PIP
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1134597933
Individual Registrant: MARY CAMPBELL BROOKER LICSW, PIP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
398 ASHE BLVD SHEFFIELD, AL 35660 US
Tel: 256-627-1871 Fax: --
Tel: 256-627-1871 Fax: --
Contact information for business:
398 ASHE BLVD SHEFFIELD, AL 35660-1729 US
Tel: 256-740-7753 Fax: --
Tel: 256-740-7753 Fax: --
Registration Information:
NPI: 1134597933
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | AL | 4099C |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
