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Individual

GRACE ANDERSON BRICENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
6014 DONCASTER DR, CHARLOTTE, NC 28211-4240
(704) 779-6978
Mailing address
6014 DONCASTER DR, CHARLOTTE, NC 28211-4240
(704) 779-6978

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11360
NC

Other

Enumeration date
03/02/2023
Last updated
03/02/2023
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