Individual
MARIAH LINDSEY BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3615 BRASELTON HWY STE 103, DACULA, GA 30019-5907
(678) 377-9634
(678) 377-9609
Mailing address
3615 BRASELTON HWY STE 103, DACULA, GA 30019-5907
(678) 377-9634
(678) 377-9609
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003795
GA
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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