Individual
MELONIE BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT
Contact information
Practice address
1085 S BLUFF ST, SAINT GEORGE, UT 84770-5245
(801) 465-5111
Mailing address
1085 S BLUFF ST, SAINT GEORGE, UT 84770-5245
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1035
UT
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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