Individual
ANDREA R BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
111 FAYETTE AVE, FAYETTEVILLE, WV 25840-1219
(304) 574-1176
Mailing address
404 OLD MAIN DR, SUMMERSVILLE, WV 26651-1360
(304) 872-6440
(304) 872-6442
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1826
WV
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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