Individual
MRS. AMY BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
307 E SEVIER ST, BENTON, AR 72015-3934
(501) 315-4224
(501) 776-0411
Mailing address
307 E SEVIER ST, BENTON, AR 72015-3934
(501) 315-4224
(501) 776-0411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1937-M
AR
1041C0700X
Clinical Social Worker
Primary
2281-C
AR
Other
Enumeration date
02/07/2007
Last updated
09/05/2008
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