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Individual

MRS. KERRY BRACKENBURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLPA

Contact information

Practice address
3200 N DOBSON RD STE F-2, CHANDLER, AZ 85224-9611
(480) 722-1300
Mailing address
220 W KORTSEN RD, CASA GRANDE, AZ 85122-5910
(520) 836-2111

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA9168
AZ
235Z00000X
Speech-Language Pathologist
Primary
SLP9168
AZ

Other

Enumeration date
11/03/2014
Last updated
12/05/2018
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