Individual
MRS. BROOKE MARIE PRUIETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
300 FLOYD DR, SIKESTON, MO 63801-3960
(573) 472-0397
Mailing address
PO BOX 608, SIKESTON, MO 63801-0608
(573) 472-0397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020014582
MO
Other
Enumeration date
06/01/2020
Last updated
02/01/2022
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