Individual
BROOKE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2227 COLUMBIA ROAD 529, MAGNOLIA, AR 71753-8738
(870) 904-9408
Mailing address
16 SUMMERWOOD DR, MAGNOLIA, AR 71753-8442
(870) 904-9408
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2138
AR
Other
Enumeration date
03/08/2007
Last updated
02/29/2008
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