Individual
MRS. BRENDA FOGG JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
200 MEREDITH DRIVE, SUITE 200, DURHAM, NC 27713-2287
(919) 361-1090
(888) 354-2009
Mailing address
PO BOX 244, BUTNER, NC 27509-0244
(919) 361-1090
(888) 354-2009
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5069
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412568
—
NC
Enumeration date
01/30/2007
Last updated
08/30/2012
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