Individual
MR. BRADLEY QUIN ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW BACS
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
Mailing address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7697
LA
Other
Enumeration date
02/05/2007
Last updated
09/11/2023
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