Individual
BROOKE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-2082
Mailing address
4420 LAKE BOONE TRL, C/O INPATIENT REHABILITATION, RALEIGH, NC 27607-7505
(919) 784-2082
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9461
NC
Other
Enumeration date
08/24/2011
Last updated
05/16/2022
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