Larry Brooks LCSW

NPI 1083649891 - Social Worker - 1041C0700X

NPI Details
NPI 1083649891
Gender Male
Enumeration Date 07/11/2006
Last Updated 08/30/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
910 SKOKIE BLVD
SUITE 215
NORTHBROOK IL, 60062-4013, US
Phone (847) 362-4977
Fax
Business Location
910 SKOKIE BLVD
SUITE 215
NORTHBROOK IL, 60062-4013, US
Phone (847) 362-4977
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149-000234
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According to our database, Larry Brooks LCSW NPI is 1083649891, taxonomy code is 1041C0700X and license number is 149-000234, license state is located at Illinois. Larry Brooks LCSW physically located at 910 Skokie Blvd, Northbrook IL, 60062-4013. NPI Number Larry Brooks LCSW has the Individual type.

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1083649891 NPI number is provided on an as is basis without warranty of any kind. 1083649891 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Brooks LCSW are for informational purposes only.