Individual
GENELLE MCDONALD BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED. CCC-SLP
Contact information
Practice address
806 N JEFFERSON ST, DUBLIN, GA 31021-6306
(478) 275-8844
(478) 275-2365
Mailing address
PO BOX 8259, DUBLIN, GA 31040-8259
(478) 275-8844
(478) 275-2365
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004839
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00926164A
—
GA
Enumeration date
01/10/2008
Last updated
01/10/2008
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