Individual
ELISA K BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2963 BLUE JACKET CT, LIMA, OH 45806-1464
(567) 825-1192
Mailing address
2030 W ELM ST, LIMA, OH 45805-2654
(419) 234-2134
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2305414
OH
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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