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Individual

BRADLEY DEAN JEFFERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS CCC SLP

Contact information

Practice address
2535 LONE STAR DR, DALLAS, TX 75212-6313
(214) 467-9787
Mailing address
405 MEADOW LN, DENTON, TX 76207-7414
(940) 323-1074

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19872
TX

Other

Enumeration date
06/14/2007
Last updated
07/08/2007
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