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Individual

BROOKE BAUMGARTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S CCC-SLP

Contact information

Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2800
Mailing address
265 S STATE ST UNIT 411, SALT LAKE CITY, UT 84111-3139

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13646234-4102
UT
235Z00000X
Speech-Language Pathologist
SP-1283
WY

Other

Enumeration date
01/25/2024
Last updated
02/12/2024
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