Individual
MRS. KATHY M. BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SLP
Contact information
Practice address
200 GASTON AVE, FAIRMONT, WV 26554-2739
(304) 624-6554
(304) 624-5223
Mailing address
200 GASTON AVE, FAIRMONT, WV 26554-2739
(304) 624-6554
(304) 624-5223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6902
WV
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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