Individual
RACHELLE ELISABETH BROSNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
614 E ADAMS ST, JACKSON, MO 63755-2150
(573) 243-9501
Mailing address
614 E ADAMS ST, JACKSON, MO 63755-2150
(573) 243-9501
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2017005986
MO
Other
Enumeration date
08/17/2020
Last updated
09/18/2020
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