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Ashley Anne Brack

Speech-Language Pathologist, in Providence, RI. Individual provider (NPI-1).

NPI number1760627236
StatusActive
Last updated in NPPESNov 12, 2010

Details

NPI
1760627236
Entity type
Individual (NPI-1)
Name
Ashley Anne Brack
Sex
Female
Sole proprietor
No
Enumeration date
Dec 11, 2008
Last updated
Nov 12, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SP01040RIYes

Practice location

765 Allens Ave
Suite 110
Providence, RI 02905-5443

Phone 401-444-3201 · Fax 401-444-8507

Mailing address

765 Allens Ave
Suite 110
Providence, RI 02905-5443

Phone 401-444-3201 · Fax 401-444-8507

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