Individual
MRS. ASHLEY D BRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2610 EISENHOWER AVE, SOUTH BEND, IN 46615-3421
(574) 286-9620
Mailing address
2610 EISENHOWER AVE, SOUTH BEND, IN 46615-3421
(574) 286-9620
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006038A
IN
Other
Enumeration date
06/26/2013
Last updated
11/20/2014
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