Individual
MS. BROOKE NICOLE SHIVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1103 WATERLILY RD, COINJOCK, NC 27923-9746
(704) 798-1423
Mailing address
1103 WATERLILY RD, COINJOCK, NC 27923-9746
(704) 798-1423
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NC
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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