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Individual
PRECIOUS BRADLEY
Active
Individual
PRECIOUS BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.018312
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178.018312
IDFPR
IL
Enumeration date
09/30/2022
Last updated
09/30/2022
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