Individual
MRS. CRYSTAL K BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
616 INDIAN WELLS WAY, WILMINGTON, NC 28411-9094
(910) 397-2980
(910) 397-2980
Mailing address
616 INDIAN WELLS WAY, WILMINGTON, NC 28411-9094
(910) 397-2980
(910) 397-2980
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4967
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7411536
—
NC
Enumeration date
08/31/2006
Last updated
07/09/2007
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