Individual
BROOKE ELIZABETH KUJAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12116 E IDLEWOOD DR, MOUNT VERNON, IL 62864-8416
(618) 237-5336
Mailing address
12116 E IDLEWOOD DR, MOUNT VERNON, IL 62864-8416
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242005094
IL
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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