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Individual

BRANDON JEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CCC-SLP

Contact information

Practice address
4411 N HABANA AVE, TAMPA, FL 33614-7211
(813) 872-2771
Mailing address
3753 WILDWOOD PATH, POPLAR BLUFF, MO 63901-9106
(573) 429-1303

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA23085
FL

Other

Enumeration date
12/24/2024
Last updated
12/24/2024
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