Individual
MISS KAYLA BROOKS BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
1931 BULL ST, COLUMBIA, SC 29201-2560
(803) 767-4832
Mailing address
1931 BULL ST, COLUMBIA, SC 29201-2560
(803) 767-4832
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4889
SC
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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