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Individual

ROBERT RANDY BRADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
125 E CHEVES ST, FLORENCE, SC 29506-2526
(843) 317-4073
Mailing address
337 W MCIVER RD, DARLINGTON, SC 29532-5854
(843) 758-3445

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
104100000X
Social Worker
1041C0700X
Clinical Social Worker
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/12/2022
Last updated
06/05/2023
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