Individual
ERICA BRODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3419B MELROSE RD, FAYETTEVILLE, NC 28304-1608
(910) 257-2005
Mailing address
226 RANIER DR, RAEFORD, NC 28376-9222
(480) 570-1626
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14433
NC
235Z00000X
Speech-Language Pathologist
174091
KY
Other
Enumeration date
08/16/2017
Last updated
07/21/2022
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