Individual
MS. JESSICA BRACERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
52 HAMILTON CIR, PHILADELPHIA, PA 19130-3822
(518) 569-0283
Mailing address
52 HAMILTON CIR, PHILADELPHIA, PA 19130-3822
(518) 569-0283
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1355760
NY
235Z00000X
Speech-Language Pathologist
SL011855
PA
Other
Enumeration date
08/28/2012
Last updated
09/08/2015
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