Individual
LAWRENCE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
216 W SAINT GEORGE BLVD, SUITE B-3, ST GEORGE, UT 84770-1308
(435) 773-8480
Mailing address
216 W SAINT GEORGE BLVD, ST GEORGE, UT 84770-1308
(435) 773-8480
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
70746733902
UT
Other
Enumeration date
09/06/2014
Last updated
09/06/2014
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