BRANTLEY BLACK BRUCE

SUWANEE, GA
NPI1407650708
Former NameBRANTLEY BLACK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence:   14173439)
Enumeration Date2025-04-03
Last Update Date2025-04-03
Business Address
BRANTLEY BLACK BRUCE CCC-SLP
437 OLD PEACHTREE RD NW
SUWANEE, GA 30024-2978
Phone number: 678-301-6000
Mailing Address
BRANTLEY BLACK BRUCE CCC-SLP
4370 LAUREL GROVE TRCE
SUWANEE, GA 30024-6930
Phone number:
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