Individual
BROOKE LYNNE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6153
Mailing address
300 N 7TH ST, BISMARCK, ND 58501-4439
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2037
ND
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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