Individual
ANNA JESSIE BRAZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
4679 HAMILTON RD # 8702, LAGRANGE, GA 30241-8702
(762) 323-9645
Mailing address
1850 SALEM RD, LAGRANGE, GA 30241-8346
(762) 323-9645
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8136
GA
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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