Individual
MR. ELAINE M. BROOCKERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
110 W WALNUT ST, BELTON, MO 64012-4808
(816) 348-1000
Mailing address
110 W WALNUT ST, BELTON, MO 64012-4808
(816) 348-1000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MO
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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