Individual
JANESE MARIE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 SPRING CREEK CIR, SNELLVILLE, GA 30039-6420
(470) 851-7650
Mailing address
3801 SPRING CREEK CIR, SNELLVILLE, GA 30039-6420
(470) 851-7650
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/04/2024
Last updated
05/04/2024
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