Individual
BROOKE A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CFY-SLP
Contact information
Practice address
3040 N WICKHAM RD, SUITE 4, MELBOURNE, FL 32935-2369
(321) 751-1443
Mailing address
3040 N WICKHAM RD, SUITE 4, MELBOURNE, FL 32935-2369
(321) 751-1443
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ4152
FL
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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