Individual
BROOKE CHESNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
3105 CREEKSIDE VILLAGE DR NW STE 602-604, KENNESAW, GA 30144-2394
(770) 974-2424
Mailing address
3105 CREEKSIDE VILLAGE DR NW STE 603604, KENNESAW, GA 30144-2394
(770) 974-2424
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002798
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCET002798
GEORGIA STATE LICENSURE
GA
Enumeration date
01/21/2019
Last updated
01/21/2019
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