Provider Information for 1063616043
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SUZZY BROOKS LCSW
Other Names:Other Name:Mrs. LIA S BROOKSSex: Female
NPI: 1063616043
Last Updated: 2014-12-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1063616043 | ||||||||
| Enumeration Date | 2007-06-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2421 HOLLYWOOD BLVD HOLLYWOOD, FL 33020-6605 United States Phone: 800-801-0366 | Fax:954-923-9190 | ||||||||
| Primary Practice Address | 2421 HOLLYWOOD BLVD HOLLYWOOD, FL 33020-6605 United States Phone: 800-801-0366 | Fax:954-923-9190 | ||||||||
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