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Individual

MRS. LORENA LUNA BRADFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC/SLP

Contact information

Practice address
306 N MAIN ST STE 1B, HINESVILLE, GA 31313-2562
(912) 320-4573
(912) 335-3528
Mailing address
12300 APACHE AVE APT 607, SAVANNAH, GA 31419-2322
(956) 561-1576
(912) 335-3528

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006947
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
258662410D
GA
Enumeration date
09/22/2008
Last updated
10/13/2020
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