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Individual

ALYSSA JANE DODGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS/CCC-SLP

Contact information

Practice address
410 NEW BRIDGE ST, SUITE 10A, JACKSONVILLE, NC 28540-4739
(910) 347-2212
(910) 347-6003
Mailing address
410 NEW BRIDGE ST, SUITE 10A, JACKSONVILLE, NC 28540-4739
(910) 347-2212
(910) 347-6003

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7349
NC

Other

Enumeration date
07/31/2007
Last updated
07/31/2007
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