Individual
LISA ANN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
189 CHARLESTON AVE, BREMEN, GA 30110-7914
(770) 748-2225
Mailing address
189 CHARLESTON AVE, BREMEN, GA 30110-7914
(770) 748-2225
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC003475
GA
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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