Individual
CANDACE ALLEGRA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 BRUNDAGE DR APT 4305, HOUSTON, TX 77090-6417
(713) 757-2671
Mailing address
2110 BRUNDAGE DR APT 4305, HOUSTON, TX 77090-6417
(713) 757-2671
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
34724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2355S0801X
—
TX
Enumeration date
02/19/2020
Last updated
02/19/2020
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