Individual
BROOKE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 W AVENUE M, SAN ANGELO, TX 76903-8414
(812) 137-6325
Mailing address
309 W AVENUE M, SAN ANGELO, TX 76903-8414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
116104
TX
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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