Individual
TRISTAN BROOKE MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
201 KIMBERLY LN, WILLIAMSTOWN, KY 41097-9458
(859) 824-7803
Mailing address
323 ASTORIA LN, MONTICELLO, KY 42633-7399
(606) 307-3027
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
270379
KY
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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