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Individual

MRS. EMILY ANNETTE BRADSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MHS CCC-SLP

Contact information

Practice address
6365 N WHITETAIL WAY, PARKVILLE, MO 64152-8742
(816) 589-2563
(816) 526-0152
Mailing address
6365 N WHITETAIL WAY, PARKVILLE, MO 64152-8742
(816) 589-2563
(816) 526-0152

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
HE 104339
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
463402339
MO
Enumeration date
01/15/2007
Last updated
03/09/2025
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