Organization
ABOUT FACE SPEECH AND LANGUAGE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEDRA SHERISE BRADHAM CCC-SLP (OWNER/AGENT)
(678) 591-6524
Entity
Organization
Contact information
Practice address
309 BREEZEWOOD COURT, STOCKBRIDGE, GA 30281
(678) 591-6524
Mailing address
309 BREEZEWOOD COURT, STOCKBRIDGE, GA 30281
(678) 591-6524
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
SLP006318
GA
252Y00000X
Early Intervention Provider Agency
Primary
SLP006318
GA
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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