Individual
KATHLEEN BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.CCC-SLP
Contact information
Practice address
3905 JOHNS CREEK CT, SUITE 250, SUWANEE, GA 30024-1265
(770) 888-5221
(770) 623-5544
Mailing address
3905 JOHNS CREEK CT, SUITE 250, SUWANEE, GA 30024-1265
(770) 888-5221
(770) 623-5544
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005895
GA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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