Individual
BREONNA NICOLE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC
Contact information
Practice address
1514 CLEVELAND AVE STE 101, EAST POINT, GA 30344-6977
(678) 322-8255
Mailing address
4025 RASPBERRY WAY, AUSTELL, GA 30106-2659
(513) 706-5541
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
010524
GA
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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