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Individual

COLLEEN CURCILLO BRENNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
2899 FIVE FORKS TRICKUM RD, LAWRENCEVILLE, GA 30044-5803
(770) 356-1274
Mailing address
1272 KYLEMORE LN, SNELLVILLE, GA 30078-5655
(770) 356-1274

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003701
GA

Other

Enumeration date
10/18/2013
Last updated
10/18/2013
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