Most Relevant Information
Provider Data
| NPI Number: | 1003546961 |
| Provider Name: | BROOKE E KUBASCH LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 24754 |
Most Important Dates
| Enumeration Date: | 06/14/2022 |
| Last Updated: | 12/18/2023 |
Provider Practice Location
200 1ST ST SW
ROCHESTER
MN
559050001
Practice Location Phone/Fax
| Phone: | 5072842511 |
| Fax: |
Provider Mailing Location
200 1ST ST SW
ROCHESTER
MN
559050001
Provider Mailing Phone/Fax
| Phone: | 5072842511 |
| Fax: |