Individual
BRANDEE LYN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
1547 LEXINGTON DR, LODI, CA 95242
(209) 663-7238
Mailing address
1547 LEXINGTON DR, LODI, CA 95242
(209) 663-7238
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17427
CA
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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