Individual
MS. BROOKE LAFORTY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
16722 COUNTY ROUTE 156, WATERTOWN, NY 13601-5762
(315) 782-2817
Mailing address
16722 COUNTY ROUTE 156, WATERTOWN, NY 13601-5762
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016291
NY
Other
Enumeration date
11/04/2008
Last updated
08/25/2022
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