Individual
MS. BROOKE KRISTINA POQUETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 ELLIS ST, CARTHAGE, MS 39051-3808
(601) 267-3241
(601) 267-0209
Mailing address
192 COBBLESTONE DR, MADISON, MS 39110-9100
(601) 650-0002
(601) 650-9902
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2811
MS
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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