STACEY MICHELLE BRENNER

SUNRISE, FL
NPI1336295351
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SZ 4090)
Enumeration Date2007-01-25
Last Update Date2007-07-09
Business Address
-- STACEY MICHELLE BRENNER M.S.
12701 W SUNRISE BLVD
SUNRISE, FL 33323-0907
Phone number: 954-792-8772
Mailing Address
-- STACEY MICHELLE BRENNER M.S.
1551 NW 108TH AVE APT 146
PLANTATION, FL 33322-6915
Phone number: