Individual
BROOKE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8229 BOONE BLVD STE 660, VIENNA, VA 22182-2657
(703) 821-1363
Mailing address
3090 S GLEBE RD, ARLINGTON, VA 22206-2770
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202010904
VA
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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