Individual
MS. TAYLOR BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3875 TIGER PAW ST S, MEMPHIS, TN 38152-3920
(901) 678-5134
Mailing address
10173 GREEN MOSS CV, CORDOVA, TN 38018-0115
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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