Individual
BRANDEE LEE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4402 WOODMERE ST, JACKSONVILLE, FL 32210-1819
(904) 525-0635
Mailing address
4402 WOODMERE ST, JACKSONVILLE, FL 32210-1819
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 5762
FL
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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