Individual
BROOKE JOHNSON ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CF-SLP
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
31961
CA
390200000X
Student in an Organized Health Care Education/Training Program
6698
SC
Other
Enumeration date
10/01/2018
Last updated
07/13/2021
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