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1871194019
EBONIE BROOKS
MADISON, WI
NPI
1871194019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-11-04
Last Update Date
2020-11-04
Business Address
EBONIE BROOKS
6417 ODANA RD SUITE 5
MADISON, WI 53719
Phone number: 608-268-6530
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Mailing Address
EBONIE BROOKS
6417 ODANA RD SUITE 5
MADISON, WI 53719
Phone number: 608-268-6530
Copy
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