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Individual
MARY BRAZIER
Active
Individual
MARY BRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP11144
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14053220
ASHA CERTIFICATE OF CLINICAL COMPETENCE
—
01
—
SP11144
SPEECH LANGUAGE PATHOLOGY
OH
Enumeration date
09/05/2022
Last updated
09/05/2022
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