Individual
BROOKE A. BOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
25059 WOOLWORTH ST, CARTHAGE, NY 13619
(315) 493-5000
(315) 493-7036
Mailing address
6859 SHADY AVE, CROGHAN, NY 13327-2241
(315) 286-6465
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
023901
NY
Other
Enumeration date
09/24/2013
Last updated
09/18/2018
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