Individual
ANTIGONE BRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E ACACIA AVE, GLENDALE, CA 91205-2823
(818) 246-2421
Mailing address
1017 N LAKE ST, BURBANK, CA 91502-1625
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
34156
CA
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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