Individual
MS. CHANDRA LAVELLE BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3041 NW 33RD ST, OKLAHOMA CITY, OK 73112-6919
(405) 948-6508
Mailing address
3041 NW 33RD ST, OKLAHOMA CITY, OK 73112-6919
(405) 948-6508
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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