Individual
BREANNA LAUREN ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.,CCC-SLP
Contact information
Practice address
175 ROBERTSON CT, DAWSONVILLE, GA 30534-7234
(678) 622-4376
Mailing address
175 ROBERTSON CT, DAWSONVILLE, GA 30534-7234
(678) 622-4376
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009714
GA
Other
Enumeration date
03/16/2017
Last updated
10/13/2017
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