Individual
STEPHANIE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 SCENIC DR, PRATTVILLE, AL 36066-6416
(334) 380-3723
Mailing address
160 SCENIC DR, PRATTVILLE, AL 36066-6416
(334) 380-3723
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4341B
AL
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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