Individual
MRS. BRANDI NICOLE GRADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
77 E HOWELL DR, LAKELAND, GA 31635-5522
(229) 460-9735
Mailing address
77 E HOWELL DR, LAKELAND, GA 31635-5522
(229) 460-9735
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
10499
FL
235Z00000X
Speech-Language Pathologist
Primary
SLP007267
GA
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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