Individual
AVA BRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 555-0000
Mailing address
329 EDINBURGH RD, LAWRENCE, KS 66049-1641
(785) 218-4400
(785) 218-4400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
KS
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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