Individual
NICOLE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1130 ANNAPOLIS RD, ODENTON, MD 21113-1648
(443) 923-7630
Mailing address
1130 ANNAPOLIS RD, ODENTON, MD 21113-1648
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10648
MD
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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