Individual
BROOKE BAKER MCNUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1931 CENTRAL PKWY SW STE S, DECATUR, AL 35601-6851
(256) 309-0454
(256) 309-0422
Mailing address
1931 CENTRAL PKWY SW STE S, DECATUR, AL 35601-6851
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4094
AL
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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