Individual
ELLA BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 TWIN LAKE RD, GAFFNEY, SC 29341-2526
(864) 206-2246
Mailing address
1201 MERIDIAN RIVER RUN, SPARTANBURG, SC 29301-6171
(864) 206-2253
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
219662
SC
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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