Individual
BREAWNA V LILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
8335 S TOWNSHIP ROAD 77, BLOOMVILLE, OH 44818-9215
(567) 230-4211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.15257
OH
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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