Most Relevant Information
Provider Data
| NPI Number: | 1003238007 |
| Provider Name: | BROOKE CHAMPT LLMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6801095707 |
Most Important Dates
| Enumeration Date: | 01/09/2014 |
| Last Updated: | 01/09/2014 |
Provider Practice Location
527 COBB ST
CADILLAC
MI
496012540
Practice Location Phone/Fax
| Phone: | 2318763244 |
| Fax: |
Provider Mailing Location
820 SHADY LN
TRAVERSE CITY
MI
496864344
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |