MRS. Mallory Boehler Bradley, M.S., CCC-SLP

NPI #1497200521 in Woodstock, Georgia

Provider Information

NPI Number
1497200521
Entity Type
Individual
Name
MRS. Mallory Boehler Bradley, M.S., CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.S., CCC-SLP
Enumeration Date
Aug 18, 2016
Last Updated
Aug 18, 2016

Practice Location

Address
719 ROSEDALE RD
State
Georgia
ZIP Code
30189-6106
Phone
(731) 439-0642

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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