Individual
HOLLY BRUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
715 SHIELD ST, LARAMIE, WY 82072-2148
(307) 742-3571
(307) 742-6397
Mailing address
715 SHIELD ST, LARAMIE, WY 82072-2148
(307) 742-3571
(307) 742-6397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-533
WY
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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