Individual
LAUREN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12401 E 43RD ST S # SATE121, INDEPENDENCE, MO 64055-5907
(913) 608-7910
Mailing address
12401 E 43RD ST S # SATE121, INDEPENDENCE, MO 64055-5907
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2025029225
MO
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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