Individual
MRS. TARA BRAMBLETTE GNAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
5708 RENADA DR, CRESTWOOD, KY 40014-8109
(502) 802-1871
Mailing address
5708 RENADA DR, CRESTWOOD, KY 40014-8109
(502) 802-1871
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-3029
KY
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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