Individual
BETHANY LEIGH BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4142 GREEN MEADOW DR, SAN ANGELO, TX 76904-0701
(325) 716-7718
Mailing address
4142 GREEN MEADOW DR, SAN ANGELO, TX 76904-0701
(325) 716-7718
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
68595
TX
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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