Individual
HAILEE MALIN BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
409 HIGHLAND ST, PURCELL, MO 64857-8139
(417) 499-5125
Mailing address
PO BOX 105, PURCELL, MO 64857-0105
(417) 499-5125
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2020024782
MO
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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