Individual
CAROLINE CATHERINE BRABAZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
95 DURKEE LN, EAST PATCHOGUE, NY 11772-5818
(631) 286-0343
Mailing address
PO BOX 6, BELLPORT, NY 11713-0006
(631) 286-0343
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
010393
NY
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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