Individual
ASHLEY IRVIN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
334 WOODSONG DR, INMAN, SC 29349-9783
(864) 431-1565
(864) 578-3544
Mailing address
334 WOODSONG DR, INMAN, SC 29349-9783
(864) 431-1565
(864) 578-3544
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4573
SC
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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