Individual
JILL MARGRET BRADWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1095 MEDICAL PARK DR SE, GRAND RAPIDS, MI 49546-3685
(616) 588-9210
Mailing address
11099 WILDLIFE DR SE, LOWELL, MI 49331-8824
(517) 256-2800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002179
MI
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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