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Individual

BRADLEY EARL WERNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
4171 CRESCENT DR STE 202, SAINT LOUIS, MO 63129-3645
(314) 266-8671
Mailing address
4262 SHENANDOAH AVE, SAINT LOUIS, MO 63110-3513
(314) 614-7915

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/27/2018
Last updated
03/27/2018
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