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Individual

RONNIE JOE BRADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCAS

Contact information

Practice address
145 REMOUNT RD, CHARLOTTE, NC 28203-5013
(704) 332-9001
(704) 295-4937
Mailing address
145 REMOUNT RD, CHARLOTTE, NC 28203-5013
(704) 332-9001
(704) 295-4937

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8300412
NC

Other

Enumeration date
10/05/2007
Last updated
10/06/2007
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