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Individual

LEAH BRADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
325 S ASH ST, NOWATA, OK 74048-4628
(918) 273-7344
Mailing address
325 S ASH ST, NOWATA, OK 74048-4628
(918) 408-6575

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
01/27/2020
Last updated
01/27/2020
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