Individual
BREA CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP, IBCLC
Contact information
Practice address
2837 HENDERSON ST, WEST LAFAYETTE, IN 47906-1540
(765) 267-1977
Mailing address
2837 HENDERSON ST, WEST LAFAYETTE, IN 47906-1540
(765) 267-1977
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-127002
—
Other
Enumeration date
06/22/2017
Last updated
08/26/2023
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