Individual
MS. MISSY ALLEN BRADBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 MIZELL AVENUE, WINTER PARK, FL 32792
(813) 988-7633
(813) 914-0403
Mailing address
2010 MIZELL AVE, WINTER PARK, FL 32792-4119
(813) 988-7633
(813) 914-0403
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/10/2008
Last updated
03/29/2012
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