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NPI Code Detail

MEDICARE: MS. JUNE MARIE BROOKS GSW

MEDICARE: MS. JUNE MARIE BROOKS GSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker5730LA
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1063634798
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JUNE MARIE BROOKS GSW
Provider Business Mailing Address
First Line : 1538 LOUISIANA AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-3553
Country : US
Telephone Number : 504-896-2345
Fax Number : 504-896-2240
Provider Business Practice Location Address
First Line : 1538 LOUISIANA AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-3553
Country : US
Telephone Number : 504-896-2345
Fax Number : 504-896-2240
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 06/01/2021

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