Individual
MS. GERNISE T DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 449-2779
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 449-2779
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242002451
IL
Other
Enumeration date
08/27/2012
Last updated
07/22/2020
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