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Individual

BREANNA NICOLE WARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10917 HIGHWAY 92 STE 130&140, WOODSTOCK, GA 30188-6329
(678) 447-1617
(678) 735-7505
Mailing address
4006 RIVERCHESS DR SW, ATLANTA, GA 30331-6016
(404) 434-4538

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011459
GA

Other

Enumeration date
07/14/2025
Last updated
07/14/2025
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