Individual
MRS. ADINA L BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3105 CREEKSIDE VILLAGE DR NW, SUITE 602, KENNESAW, GA 30144-2394
(678) 521-4692
(866) 384-6451
Mailing address
3105 CREEKSIDE VILLAGE DR NW, SUITE 602, KENNESAW, GA 30144-2394
(678) 521-4692
(866) 384-6451
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005864
GA
Other
Enumeration date
10/09/2007
Last updated
04/15/2010
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