Individual
MELISSA MARIE BRANNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2700 N OAK ST BLDG B, VALDOSTA, GA 31602-5903
(229) 219-7993
(229) 219-7914
Mailing address
2700 N OAK ST BLDG B, VALDOSTA, GA 31602-5903
(229) 219-7993
(229) 219-7914
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007242
GA
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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