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Individual

LISA BRUNNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2314 E BUCK RD, PENNSBURG, PA 18073-2327
(215) 300-2144
Mailing address
1322 WHEATLAND AVE, PENNSBURG, PA 18073-1133

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008562
PA

Other

Enumeration date
09/12/2012
Last updated
09/12/2012
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