Provider Information for 1174739528
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RUTHIE BROOKS LPC
Sex: Female
NPI: 1174739528
Last Updated: 2014-09-24
Certification Date:
Certification Date:
Details
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NPI | 1174739528 | ||||||||
Enumeration Date | 2007-05-15 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 50 REGISTRY WAY FORT MITCHELL, AL 36856 United States Phone: 334-614-9899 | Fax: | ||||||||
Primary Practice Address | 2100 COMER AVE COLUMBUS, GA 31904-8725 United States Phone: 706-596-5520 | Fax:706-596-5569 | ||||||||
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