Individual
BRADLEY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LGSW
Contact information
Practice address
8591 HOLLY MEADOWS RD, PARSONS, WV 26287-8604
(304) 478-3339
Mailing address
8591 HOLLY MEADOWS RD, PARSONS, WV 26287-8604
(304) 478-3339
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
BP00947033
WV
171M00000X
Case Manager/Care Coordinator
—
—
225700000X
Massage Therapist
2012-2932
WV
225700000X
Massage Therapist
M04990
MD
Other
Enumeration date
06/03/2014
Last updated
04/01/2025
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