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Individual

BROOKE MCMULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
415 MUNSON AVE, TRAVERSE CITY, MI 49686-3059
(231) 486-6330
Mailing address
PO BOX 674779, DETROIT, MI 48267-4779

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005022
MI

Other

Enumeration date
04/26/2016
Last updated
04/26/2016
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