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Individual

JACQUELINE MILLER BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
312 ACADEMY ST S # G, AHOSKIE, NC 27910-3200
(252) 578-9078
(252) 276-2218
Mailing address
109 SHAFTSBURY RD, AHOSKIE, NC 27910-9578
(252) 287-9340

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13600
NC

Other

Enumeration date
07/09/2021
Last updated
07/19/2021
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