# ABOUT FACE SPEECH AND LANGUAGE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184862856
- **Authorized official:** MS. DEDRA SHERISE BRADHAM CCC-SLP (OWNER/AGENT)
- **Authorized official phone:** (678) 591-6524

## Contact information

- **Practice address:** 309 BREEZEWOOD COURT, STOCKBRIDGE, GA 30281
- **Practice address phone:** (678) 591-6524
- **Mailing address:** 309 BREEZEWOOD COURT, STOCKBRIDGE, GA 30281
- **Mailing address phone:** (678) 591-6524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | SLP006318 | GA | — |
| 252Y00000X | Early Intervention Provider Agency | SLP006318 | GA | Yes |

## Other

- **Enumeration date:** 02/03/2009
- **Last updated:** 02/03/2009