Individual
MRS. JILL MARANDA BRUMBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
203 PRIMROSE CIR, RICHMOND, KY 40475-6852
(859) 626-7974
(859) 626-7974
Mailing address
203 PRIMROSE CIR, RICHMOND, KY 40475-6852
(859) 626-7974
(859) 626-7974
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-2929
KY
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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