Individual
MRS. BRAINA MICHELLE DUBRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
30 SPRINGCREST CT, GREENVILLE, SC 29607-2930
(502) 315-4414
(501) 315-3467
Mailing address
310 WINDWARD WAY, GREER, SC 29650-3834
(501) 231-9305
(864) 528-5541
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P8004
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161298721
—
AR
Enumeration date
01/10/2007
Last updated
07/13/2010
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