Individual
SHANNON BROOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
42 GLENWOOD DR, GUILFORD, CT 06437-2234
(203) 605-5759
Mailing address
42 GLENWOOD DR, GUILFORD, CT 06437-2234
(203) 605-5759
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004769
CT
235Z00000X
Speech-Language Pathologist
146.008210
IL
Other
Enumeration date
11/29/2006
Last updated
08/20/2014
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