Individual
NICOLE BRADLEY ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
201 BAKER BLVD, LELAND, MS 38756
(662) 686-4121
(662) 686-4770
Mailing address
201 BAKER BLVD, LELAND, MS 38756-3401
(662) 686-4121
(662) 686-4770
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4391
MS
Other
Enumeration date
02/20/2018
Last updated
11/07/2018
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