Individual
BROOKE ANN GOLDIZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
340 E JACKSON ST, GATE CITY, VA 24251-3526
(276) 386-6118
Mailing address
1320 RIVERBEND DR APT 106, KINGSPORT, TN 37664-6007
(304) 902-0125
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202010070
VA
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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