Individual
MICHELLE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3514 S LIBERTY ST, INDEPENDENCE, MO 64055-3256
(816) 885-2918
Mailing address
3514 S LIBERTY ST, INDEPENDENCE, MO 64055-3256
(816) 885-2918
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MO
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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