Individual
BROOKE HOLST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 OLYMPIC AVE, BREMERTON, WA 98312-3825
(360) 473-4475
Mailing address
2505 N WYCOFF AVE, BREMERTON, WA 98312-2711
(208) 771-0974
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
509699E
WA
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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