Individual
ELLA W BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
243 CURTISS RD STE 243, BARKSDALE AFB, LA 71110-2425
(318) 456-6595
Mailing address
3041 MARTIN LUTHER KING DRIVE, SHREVEPORT, LA 71107-4705
(318) 227-3350
(318) 222-2979
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3302
LA
Other
Enumeration date
10/06/2006
Last updated
11/03/2016
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