Individual
BROOKE MARIE STULZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
3020 CHILDRENS WAY, MC 5010, SAN DIEGO, CA 92123-4223
(858) 966-5838
Mailing address
823 SAPPHIRE ST APT 2, SAN DIEGO, CA 92109-1197
(850) 264-2480
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15612
CA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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