Individual
MRS. LISA KAY BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, CCC,-SP
Contact information
Practice address
5373 THOMPSON MILL RD, HOSCHTON, GA 30548-4037
(770) 966-7003
Mailing address
3624 AUTUMN SAGE CT, DACULA, GA 30019-7275
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003922
GA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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