Individual
ALEXIS BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
561 7TH ST W, SAINT PAUL, MN 55102-3009
(651) 225-4558
Mailing address
5238 198TH ST W, FARMINGTON, MN 55024-8429
(612) 644-1592
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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