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Individual

BROOKE J TRUEBLOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
2906 HIGHWAY AVE, HIGHLAND, IN 46322-1631
(219) 513-8311
Mailing address
2906 HIGHWAY AVE, HIGHLAND, IN 46322-1631
(219) 513-8311

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
29001725A
IN
235Z00000X
Speech-Language Pathologist
Primary
22007749A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
22007749A
IN
Enumeration date
06/14/2017
Last updated
07/21/2022
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