| NPI | 1003481813 |
|---|---|
| Doing Business As | BRAVE ROOTS SPEECH THERAPY |
| Entity Type | Organization |
| Authorized Contact | JACQUELYN VORNDRAN Slp 919-907-0849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-05-24 |