Individual
BREANNA LEIGH ALLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
617 52ND ST SE, KENTWOOD, MI 49548-5836
(616) 288-8881
Mailing address
617 52ND ST SE, KENTWOOD, MI 49548-5836
(616) 288-8881
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
25035
CA
235Z00000X
Speech-Language Pathologist
Primary
7101000729
MI
235Z00000X
Speech-Language Pathologist
SLP10369
AZ
Other
Enumeration date
10/06/2016
Last updated
09/09/2024
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