Melonie Bradshaw, PEER SUPPORT

NPI #1114499258 in Saint George, Utah

Provider Information

NPI Number: 1114499258
Entity Type: Individual
Name: Melonie Bradshaw, PEER SUPPORT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: PEER SUPPORT
Enumeration Date: Dec 31, 2018
Last Updated: Dec 31, 2018

Practice Location

Address: 1085 S BLUFF ST
City: Saint George
State: Utah
ZIP Code: 84770-5245
Phone: (801) 465-5111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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