Individual
MRS. BROOKE SHOKO ELIASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
101 UHLAND RD, SAN MARCOS, TX 78666-6630
(512) 396-0872
Mailing address
101 UHLAND RD, SAN MARCOS, TX 78666-6630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
113744
TX
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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