Individual
MISS CAILIN BROOKE MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
2126 HIGHWAY 9 E STE C4, LONGS, SC 29568-5753
(843) 734-1076
(843) 734-1107
Mailing address
5226 THORNY OYSTER WAY, NORTH MYRTLE BEACH, SC 29582-9703
(740) 988-6713
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14284593
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14284593
ASHA
SC
Enumeration date
09/22/2022
Last updated
09/22/2022
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