Provider Information for 1699947358
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Mrs. BROOKE DANIELLE MCKENZIE LCSW
Other Names:Former Name:BROOKE DANIELLE DONALDSON LCSWSex: Female
NPI: 1699947358
Last Updated: 2011-12-21
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1699947358 | ||||||||||||
| Enumeration Date | 2008-04-02 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 224 TWIN LAKE RD SOMERSET, PA 15501-7727 United States Phone: 814-443-3639 | Fax:814-443-2737 | ||||||||||||
| Primary Practice Address | 224 TWIN LAKE RD SOMERSET, PA 15501-7727 United States Phone: 814-443-3639 | Fax:814-443-2737 | ||||||||||||
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