Provider Demographics
NPI:1487010195
Name:BROOKS, ALISON
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:BROOKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 SPAIGHT ST APT 2B
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53703-3563
Mailing Address - Country:US
Mailing Address - Phone:608-345-0545
Mailing Address - Fax:
Practice Address - Street 1:1033 SPAIGHT ST APT 2B
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53703-3563
Practice Address - Country:US
Practice Address - Phone:608-345-0545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker