Individual
MS. BRANDE GWEN VAN BROCKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
633 MONROE AVE, LOS BANOS, CA 93635-4718
(619) 756-8070
Mailing address
633 MONROE AVE, LOS BANOS, CA 93635-4718
(619) 756-8070
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
33487
CA
Other
Enumeration date
02/22/2025
Last updated
02/22/2025
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