Individual
ANITA BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3746 PROSPECT AVE E, CLEVELAND, OH 44115-2706
(216) 391-6672
(216) 391-4633
Mailing address
3746 PROSPECT AVE E, CLEVELAND, OH 44115-2706
(216) 391-6672
(216) 391-4633
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
964547
OH
104100000X
Social Worker
—
OH
Other
Enumeration date
12/18/2017
Last updated
03/17/2018
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