Individual
MRS. MARY ELLEN-MCCORMICK BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP, CRDI
Contact information
Practice address
4640 MARTIN RD, CUMMING, GA 30041-5542
(678) 679-1261
(678) 250-9010
Mailing address
3292 THOMPSON BRIDGE RD, SUITE 327, GAINESVILLE, GA 30506-1561
(850) 345-6010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007280
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00112935A
—
GA
Enumeration date
06/18/2010
Last updated
08/15/2022
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