Individual
BROOKE ALEXA FOURCADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0951
Mailing address
4404 UNIVERSITY BLVD, DALLAS, TX 75205-1639
(504) 994-2532
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
121427
TX
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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