Individual
MS. BROOKE L POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
#24 CAMINO OVEJEROS, EL PRADO, NM 87529
(503) 956-3452
Mailing address
PO BOX 2926, TAOS, NM 87571-2926
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5127
NM
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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