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Individual

MRS. BENCITA BUGARIN BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
2359 HIGHWAY 105, BOONE, BOONE, NC 28607-7814
(828) 265-5391
(828) 265-5394
Mailing address
6696 OLD 421 S, DEEP GAP, DEEP GAP, NC 28618-8903
(828) 773-0233

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2297
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60203
BLUE CROSS BLUE SHIELD
NC
Enumeration date
03/19/2007
Last updated
07/08/2007
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