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Individual

EMILY BROCKLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
130 DIAMOND CREEK PL STE 120, ROSEVILLE, CA 95747-7592
(916) 755-4414
Mailing address
9735 GREENSBORO CIR, SACRAMENTO, CA 95827-2712
(916) 501-5582

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6703
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6703
DCA
CA
Enumeration date
07/07/2025
Last updated
07/07/2025
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