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Individual

DIANE M BROWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP, MED

Contact information

Practice address
604 WASHINGTON STREET, SUITE B2, GAINESVILLE, GA 30501
(770) 534-5141
(770) 534-5141
Mailing address
604 WASHINGTON STREET, SUITE B2, GAINESVILLE, GA 30501
(770) 534-5141
(770) 534-5141

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP000303
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000560051B
GA
Enumeration date
07/17/2017
Last updated
07/21/2022
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