Individual
MS. DEVON BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4115 MCCAMEY DR, MATTHEWS, NC 28104-6298
(301) 801-4875
Mailing address
4115 MCCAMEY DR, MATTHEWS, NC 28104-6298
(301) 801-4875
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12190
NC
Other
Enumeration date
11/13/2015
Last updated
03/26/2020
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