Individual
ALISON VAN BROCKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
154 WOODLAND RD, BATESVILLE, MS 38606-7300
(662) 563-5636
Mailing address
604 MARTIN LUTHER KING JR DR, OXFORD, MS 38655-3010
(404) 509-7004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4364
MS
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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