Individual
BROOKE WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1610 E SUNSHINE ST, SPRINGFIELD, MO 65804-1313
(417) 523-7500
(417) 523-7595
Mailing address
4012 STONEWALL LN, BELLEVILLE, IL 62221-7615
(618) 830-6823
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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