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Individual

BRADLEY CHARBONNEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1090 ARNOLD DR, LITTLE ROCK AFB, AR 72099-4933
(501) 987-2597
Mailing address
1090 ARNOLD DR, LITTLE ROCK AFB, AR 72099-4933
(501) 987-2597

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7549-C
AR

Other

Enumeration date
06/15/2015
Last updated
11/07/2024
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