Individual
TANYA NICOLE-BRADFORD FILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
301 PARKVIEW DR, FLETCHER, OK 73541-9432
(580) 483-7584
Mailing address
301 PARKVIEW DR, FLETCHER, OK 73541-9432
(580) 483-7584
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
OK
104100000X
Social Worker
Primary
—
OK
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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