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Individual

CHRISTINA D BRYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
2905 FRUITWOOD LN, JACKSONVILLE, FL 32277-3614
(843) 908-9809
Mailing address
PO BOX 8104, JACKSONVILLE, FL 32239-0104
(843) 908-9809

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18710
FL
235Z00000X
Speech-Language Pathologist
23377
CA
235Z00000X
Speech-Language Pathologist
4819
SC

Other

Enumeration date
03/01/2021
Last updated
03/01/2021
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