Individual
DELISE ROSE BRAVO-BUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
100 N 3RD AVE STE B, CHATSWORTH, GA 30705-2942
(843) 540-2494
(478) 845-2863
Mailing address
612 GI MADDOX PKWY, CHATSWORTH, GA 30705-2079
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008257
GA
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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