Individual
MRS. VIRLEE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N ACADEMY ST, KINGSTREE, SC 29556-3408
(843) 355-5571
Mailing address
4568 SEABOARD RD, SALTERS, SC 29590-3365
(843) 387-5425
(843) 387-5444
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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