Individual
SUZANNE BRAKHAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
7396 TWIN CHIMNEYS BLVD, O FALLON, MO 63368-6112
(785) 393-3117
Mailing address
7396 TWIN CHIMNEYS BLVD, O FALLON, MO 63368-6112
(785) 393-3117
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
625136
MO
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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