Individual
JEWELL DUPREE BRADNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
6925 UNIVERSITY DR, ALEXANDRIA, VA 22307-1526
(703) 906-2900
Mailing address
6925 UNIVERSITY DR, ALEXANDRIA, VA 22307-1526
(703) 906-2900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
02610L
MD
235Z00000X
Speech-Language Pathologist
Primary
2202011154
VA
Other
Enumeration date
09/19/2022
Last updated
01/02/2025
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