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Individual

MRS. BRIDGET MARIE SANFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
10914 KIRBY DR, PHILADELPHIA, PA 19154-4206
(215) 870-3264
Mailing address
10914 KIRBY DR, PHILADELPHIA, PA 19154-4206

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
41YS00657400
NJ
235Z00000X
Speech-Language Pathologist
Primary
SL012222
PA

Other

Enumeration date
09/23/2017
Last updated
09/23/2017
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