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Individual

DR. BRADLEY ALLEN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
7280 NW 87TH TER STE C-210, KANSAS CITY, MO 64153-3720
(646) 453-6777
(212) 337-9841
Mailing address
PO BOX 282, SHELBYVILLE, IL 62565-0282
(281) 745-2708

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2022045313
MO

Other

Enumeration date
01/18/2024
Last updated
01/18/2024
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