Individual
JESSICA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 2ND ST E, BOTTINEAU, ND 58318-1104
(701) 228-3743
Mailing address
309 2ND ST E, BOTTINEAU, ND 58318-1104
(701) 228-3743
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2304
ND
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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