Individual
BRANDLYNN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
164 NW MADISON ST, LAKE CITY, FL 32055-3904
(386) 758-1811
Mailing address
164 NW MADISON ST, LAKE CITY, FL 32055-3904
(386) 758-1811
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA13542
FL
Other
Enumeration date
03/12/2014
Last updated
02/25/2016
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