Individual
BROOKE CASERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1804 WILLOW LAKES DR, SPRINGFIELD, OH 45502-7305
(937) 408-2052
Mailing address
1804 WILLOW LAKES DR, SPRINGFIELD, OH 45502-7305
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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