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Individual

BRADLEY SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
7217 CAMERON PARK DR, FORT SMITH, AR 72903-6167
(479) 831-6007
(479) 782-1242
Mailing address
PO BOX 11818, FORT SMITH, AR 72917-1818
(479) 452-6650
(479) 452-5847

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1901003
AR

Other

Enumeration date
08/22/2016
Last updated
10/09/2019
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