Individual
KASSIDY BROKAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
57016 852ND RD, WINSIDE, NE 68790-5071
(402) 860-3088
Mailing address
57016 852ND RD, WINSIDE, NE 68790-5071
(402) 860-3088
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2492
NE
Other
Enumeration date
07/08/2019
Last updated
03/24/2021
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