Individual
MRS. BROOKE KALI BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
784 MOUNT PILGRIM CHURCH RD, PROSPERITY, SC 29127-5801
(803) 682-5777
Mailing address
784 MOUNT PILGRIM CHURCH RD, PROSPERITY, SC 29127-5801
(803) 682-5777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5851
SC
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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