Individual
JILLIAN GRACE BRUSKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17652 BOTTLEBRUSH DR, DALLAS, TX 75252-8057
(206) 931-5972
Mailing address
17652 BOTTLEBRUSH DR, DALLAS, TX 75252-8057
(206) 931-5972
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
42111
TX
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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