Individual
BROOKE MOSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
2729 S HIGHWAY 65 82, LAKE VILLAGE, AR 71653-6136
(870) 265-9200
Mailing address
124 PLANTATION DR, LELAND, MS 38756-3312
(662) 822-4965
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4355
AR
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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