Individual
MRS. BROOKE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
510 E NORTH BROADWAY ST, COLUMBUS, OH 43214-4114
(614) 263-5365
Mailing address
3186 SUNFLOWER PL, GROVEPORT, OH 43125-3528
(740) 851-7538
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.15446
OH
Other
Enumeration date
08/17/2023
Last updated
05/17/2024
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