Individual
BRANDI NICOLE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
8705 KING RANCH DR, CROSSROADS, TX 76227-3899
(337) 277-7827
Mailing address
8705 KING RANCH DR, CROSSROADS, TX 76227-3899
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109088
TX
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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