Individual
BROOKE LOUISE CAPP MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 NEWARK AVE, SUITE 3RR, JERSEY CITY, NJ 07302-2859
(847) 293-0331
Mailing address
3340 SHARON PL, ZION, IL 60099-3551
(847) 293-0331
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00826400
NJ
Other
Enumeration date
01/19/2016
Last updated
11/18/2022
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