Individual
BROOKE VANCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-ASSISTANT
Contact information
Practice address
15820 ADDISON RD, ADDISON, TX 75001-3549
(866) 919-3240
Mailing address
3721 FISCAL CT, FORT WORTH, TX 76244-8167
(817) 691-2464
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
37372
TX
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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