Individual
DR. DANA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3776 LAVISTA RD STE 250, TUCKER, GA 30084-5657
(770) 862-6447
(833) 232-1614
Mailing address
3776 LAVISTA RD STE 250, TUCKER, GA 30084-5657
(478) 298-4679
(833) 232-1614
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010126
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP010126
STATE LICENSE
GA
Enumeration date
06/22/2018
Last updated
10/27/2021
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