Individual
BROOKE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
22 MILFORD ST, BROOKLINE, NH 03033-2446
(603) 673-4640
Mailing address
6 POPE RD, BROOKLINE, NH 03033-2510
(978) 875-0690
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1944
NH
235Z00000X
Speech-Language Pathologist
76780
MA
Other
Enumeration date
02/27/2015
Last updated
06/22/2023
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