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1417349267
SHANNON BRAGG
WOODSTOCK, GA
NPI
1417349267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP007063)
Enumeration Date
2015-03-02
Last Update Date
2022-09-23
Business Address
SHANNON BRAGG
1551 PINE CREEK WAY
WOODSTOCK, GA 30188-4355
Phone number: 770-871-6338
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Mailing Address
SHANNON BRAGG
112 MIRRAMONT LAKE DR
WOODSTOCK, GA 30189-8213
Phone number: 404-509-7986
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