Individual
BROOKE MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 TRUEHEDGE TRCE, ROSWELL, GA 30076-2907
(808) 383-4782
Mailing address
110 TRUEHEDGE TRCE, ROSWELL, GA 30076-2907
(808) 383-4782
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002711
GA
Other
Enumeration date
06/11/2018
Last updated
10/16/2022
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