Individual
BRANDI RAE LUNGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC/LIC
Contact information
Practice address
520 PLAZA DR STE 130, FOLSOM, CA 95630-4792
(916) 804-7182
(916) 983-6523
Mailing address
520 PLAZA DR STE 130, FOLSOM, CA 95630-4792
(916) 804-7182
(916) 983-6523
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12306
CA
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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