Individual
MRS. TAMAYA S BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
11903 MAIN STREET, FREDERICKSBURG, VA 22408-7326
(540) 681-1425
Mailing address
13006 DUBIN DRIVE, SPOTSYLVANIA, VA 22551-8012
(540) 681-1425
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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