Individual
MR. HAROLD BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5725 HIGHLAND DR, CASPER, WY 82609-4382
(307) 265-4073
(307) 265-2460
Mailing address
5725 HIGHLAND DR, CASPER, WY 82609-4382
(307) 265-4073
(307) 265-2460
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
PMFT-278
WY
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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