Individual
MS. FARRAL JEAN BRADTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
760 ROCK HILL HWY, LANCASTER, SC 29720-7780
(803) 287-1826
Mailing address
760 ROCK HILL HWY, LANCASTER, SC 29720-7780
(803) 287-1826
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4215
SC
235Z00000X
Speech-Language Pathologist
5985
NC
Other
Enumeration date
09/23/2007
Last updated
11/09/2007
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