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Individual

DR. CARLA ADKISON-BRADLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E0002624
OH
101YP2500X
Professional Counselor
Primary
6401009246
MI

Other

Enumeration date
04/24/2013
Last updated
04/24/2013
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