Search › Georgia › 235Z00000X
Mallory Bradley, M.S., CCC-SLP
NPI 1497200521 · on the registry since 2016 · sole proprietor
Practice
- Address
- 719 Rosedale Rd
Woodstock, GA 30189 - Phone
- (731) 439-0642
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia