Individual
MISS BROOKE N EDSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2258 N LAKEWAY CIR, WICHITA, KS 67205-1082
(316) 945-7117
(316) 945-7447
Mailing address
2258 N LAKEWAY CIR, WICHITA, KS 67205-1082
(316) 945-7117
(316) 945-7447
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3909
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
480793004
—
KS
Enumeration date
07/26/2016
Last updated
07/26/2016
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