Individual
MISS BROOKE ANN FOLKROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
800 N WESTMORELAND RD, 201, LAKE FOREST, IL 60045-1673
(847) 535-6114
Mailing address
800 N WESTMORELAND RD, 201, LAKE FOREST, IL 60045-1673
(847) 535-6114
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.010300
IL
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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