Individual
JULIET JADE BOURGEOIS-BERWYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3530 BOONE TRL, FAYETTEVILLE, NC 28306-2189
(910) 748-0258
Mailing address
8828 GARDENIA PL, MEBANE, NC 27302-9885
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13684
NC
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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