Glenda Dianne Brooks

NPI #1417528522 in Destin, Florida

Provider Information

NPI Number: 1417528522
Entity Type: Individual
Name: Glenda Dianne Brooks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 9, 2021
Last Updated: Jul 9, 2021

Practice Location

Address: 916 BAMBI DR
City: Destin
State: Florida
ZIP Code: 32541-1833
Phone: (850) 685-0668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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