Individual
MRS. BRIANNE DETTMERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
88 CARL WILLIAMS RD, SENOIA, GA 30276-3366
(678) 315-4259
Mailing address
88 CARL WILLIAMS RD, SENOIA, GA 30276-3366
(678) 315-4259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010673
GA
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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