Individual
LISA BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
8 NANTUCKET PL, GRAFTON, MA 01519-1436
(774) 217-0395
Mailing address
8 NANTUCKET PL, GRAFTON, MA 01519-1436
(774) 217-0395
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5282
MA
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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