Individual
MRS. CHARLOTTE MARIE BROEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
61 BEECH DR, EDGEWOOD, KY 41017-2302
(859) 331-8921
Mailing address
61 BEECH DR, EDGEWOOD, KY 41017-2302
(859) 801-1448
(859) 435-7088
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
142637
KY
Other
Enumeration date
05/02/2007
Last updated
05/12/2020
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