Individual
MS. MILLIE R. BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1744 S. ROOS. RD. 2.5, PORTALES, NM 88130
(505) 693-4950
Mailing address
1744 S. ROOS. RD. 2.5, PORTALES, NM 88130
(505) 693-4950
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3383
NM
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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