Individual
MRS. JILLIAN DOMINICK CANARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3337 S BROOKWOOD RD, MOUNTAIN BRK, AL 35223-2812
(251) 401-1503
(659) 241-3466
Mailing address
3337 S BROOKWOOD RD, MOUNTAIN BRK, AL 35223-2812
(251) 401-1503
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5106
AL
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
07/27/2022
Last updated
06/23/2025
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