Individual
LAUREN DAVIS BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 N FODALE AVE, SOUTHPORT, NC 28461-3538
(910) 457-9581
Mailing address
630 N FODALE AVE, SOUTHPORT, NC 28461-3538
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8603
NC
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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