Individual
BRANDI ALISHIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
404 KING SPRINGS VILLAGE PKWY SE, SMYRNA, GA 30082-4203
(678) 353-1955
Mailing address
2916 CLAIRMONT RD NE APT 3102, BROOKHAVEN, GA 30329-4483
(678) 353-1955
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010086
GA
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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