Individual
BRIELLE SYLVIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
796 OYSTER BLUFF DR, MYRTLE BEACH, SC 29588-4202
(834) 252-0033
Mailing address
742 MINK AVE # 205, MURRELLS INLET, SC 29576-6300
(834) 252-0033
(843) 582-0259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.8027SPIN
SC
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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