Individual
BRANDEE CONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4529 SQUIRREL AVE NW, SHALLOTTE, NC 28470-1894
(910) 575-0888
Mailing address
4529 SQUIRREL AVE NW, SHALLOTTE, NC 28470-1894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/05/2007
Last updated
01/05/2022
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