Individual
LISA BRACKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11150 MAPLE AVENUE, CINCINNATI, OHIO, OH 45241
(513) 864-2672
Mailing address
11150 MAPLE ST, CINCINNATI, OH 45241-2623
(513) 864-2672
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.6814
OH
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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