Individual
DE'ERIK LAMONTAE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSWA
Contact information
Practice address
2901 COLTSGATE RD STE 202, CHARLOTTE, NC 28211-4384
(704) 980-3082
(704) 980-3082
Mailing address
700 EAST BLVD STE 1, CHARLOTTE, NC 28203-5156
(704) 980-3082
(704) 980-3082
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PO15273
NC
Other
Enumeration date
09/27/2021
Last updated
03/19/2023
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