Individual
KJIRSTEN BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC
Contact information
Practice address
5516 S FORT APACHE RD STE 130, LAS VEGAS, NV 89148-7679
(702) 641-8255
Mailing address
43089 E BIG MCDONALD DR, DENT, MN 56528-9134
(907) 414-7058
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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