Individual
MRS. SUSAN C BROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3756 LAVISTA RD STE 104, TUCKER, GA 30084-5621
(404) 477-9400
Mailing address
3756 LAVISTA RD STE 104, TUCKER, GA 30084-5621
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005855
GA
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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