Individual
MRS. REBECCA COOPER BRAGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
100 OLD CHEROKEE RD, SUITE F, LEXINGTON, SC 29072-9316
(803) 479-1758
(866) 464-4298
Mailing address
100 OLD CHEROKEE RD, SUITE F, LEXINGTON, SC 29072-9316
(803) 479-1758
(866) 464-4298
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2962
SC
Other
Enumeration date
09/02/2013
Last updated
09/02/2013
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