Individual
ALEXANDRA MORGAN BRACY MENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1015 KLEM RD, ALEX BRACY- ROOM 113, WEBSTER, NY 14580-8618
(585) 872-1770
Mailing address
1015 KLEM RD, ALEX BRACY- ROOM 113, WEBSTER, NY 14580-8618
(585) 872-1770
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
026518
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
488576
—
NY
Enumeration date
04/03/2017
Last updated
08/21/2020
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