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Individual

JESSICA BRUNSVOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
2240 S 2100 E, SALT LAKE CITY, UT 84109-1153
(503) 956-8371

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
06/25/2013
Last updated
06/25/2013
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