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Individual

MRS. AMBER MARIE BROCKL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
1600 SLEATER KINNEY RD SE, LACEY, WA 98503-2500
(360) 438-7881
(360) 456-1719
Mailing address
4102 S MERIDIAN, STE E5, PUYALLUP, WA 98373-5962
(253) 282-2326
(844) 517-6511

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003256
WA

Other

Enumeration date
10/17/2017
Last updated
03/17/2018
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