Individual
MRS. ASHLEY MARIE BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. CCC-SLP
Contact information
Practice address
784 BLANDING BLVD STE 108, ORANGE PARK, FL 32065-7724
(904) 264-2636
(904) 517-1621
Mailing address
3216 GINNY LAKE DR, MIDDLEBURG, FL 32068-1719
(904) 714-8145
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 9587
FL
Other
Enumeration date
08/08/2008
Last updated
11/09/2022
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