Individual
JESSICA BUBBICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
9129 MONROE RD, SUITE 100, CHARLOTTE, NC 28270-2429
(704) 847-3911
Mailing address
9129 MONROE RD, SUITE 100, CHARLOTTE, NC 28270-2429
(704) 847-3911
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10928
NC
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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