Most Relevant Information
Provider Data
| NPI Number: | 1003582735 |
| Provider Name: | KIA BROOKS |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/22/2021 |
| Last Updated: | 08/22/2021 |
Provider Practice Location
75 CONIFER WAY
SICKLERVILLE
NJ
080814638
Practice Location Phone/Fax
| Phone: | 8564938172 |
| Fax: |
Provider Mailing Location
415 SICKLERVILLE RD
SICKLERVILLE
NJ
080818046
Provider Mailing Phone/Fax
| Phone: | 8564938172 |
| Fax: |