Individual
SHANNON KAY BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11455 E SUNLAND AVE, MESA, AZ 85208-7705
(480) 472-4075
Mailing address
2601 E SHANNON ST, GILBERT, AZ 85295-9020
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12846
AZ
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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