Individual
MRS. EMILY CLAIRE BROKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
3401 E 30TH ST, FARMINGTON, NM 87402-8805
(414) 581-6250
Mailing address
9128 PHEASANT LN, DUBUQUE, IA 52003-9268
(414) 581-6250
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
074630
IA
235Z00000X
Speech-Language Pathologist
146016072
IL
235Z00000X
Speech-Language Pathologist
Primary
3715-154
WI
235Z00000X
Speech-Language Pathologist
SAH-2023-0033
NM
Other
Enumeration date
08/30/2012
Last updated
02/20/2024
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