Individual
BRIANNA THORSRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP/L
Contact information
Practice address
19697 ALLEN RD, BROWNSTOWN TWP, MI 48183-1119
(734) 857-7896
Mailing address
8641 WOODSIDE DR, GROSSE ILE, MI 48138-1788
(734) 231-1694
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000298
MI
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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