Provider Demographics
NPI:1073177804
Name:BROOKS, ESTELLE LOUISE (MSW)
Entity Type:Individual
Prefix:MS
First Name:ESTELLE
Middle Name:LOUISE
Last Name:BROOKS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7020 EWING AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64133-5535
Mailing Address - Country:US
Mailing Address - Phone:816-772-9753
Mailing Address - Fax:
Practice Address - Street 1:7020 EWING AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64133-5535
Practice Address - Country:US
Practice Address - Phone:816-772-9753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-26
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer