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Individual
BROOKE MYRICK
Active
Individual
BROOKE MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
200412
AR
235Z00000X
Speech-Language Pathologist
Primary
200438
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231704721
—
AR
Enumeration date
01/08/2019
Last updated
10/04/2021
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