Individual
MARY ANN BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
802 E US HIGHWAY 20, MICHIGAN CITY, IN 46360-7424
(219) 861-3131
Mailing address
802 E US HIGHWAY 20, MICHIGAN CITY, IN 46360-7424
(219) 861-3131
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006257A
IN
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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