Individual
MRS. FAITH RAULETTE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
1312 LIVELY STONE RD, ISLANDTON, SC 29929-3208
(843) 295-8368
Mailing address
1312 LIVELY STONE RD, ISLANDTON, SC 29929-3208
(843) 295-8368
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4535
SC
Other
Enumeration date
06/01/2010
Last updated
04/11/2022
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