Individual
BROOKE LOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
24 HOLLYWOOD BLVD SW STE 7, FORT WALTON BEACH, FL 32548-4893
(850) 226-7411
(850) 226-7496
Mailing address
24 HOLLYWOOD BLVD SW STE 7, FORT WALTON BEACH, FL 32548-4893
(850) 226-7411
(850) 226-7496
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
8376
LA
235Z00000X
Speech-Language Pathologist
Primary
—
FL
Other
Enumeration date
03/19/2020
Last updated
03/08/2022
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