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Individual

BROOKE ROTHERMEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
2554 LOCUST AVE W STE E, UNIVERSITY PLACE, WA 98466-3561
(253) 722-9714
(866) 853-0747
Mailing address
7723 PHILLIPS RD SW, LAKEWOOD, WA 98498-6362
(253) 722-9712
(866) 853-0747

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004320
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8460263
WA
Enumeration date
11/15/2006
Last updated
01/06/2012
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