Individual
KAYLIE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4845 S SHERIDAN RD, SUITE 510, TULSA, OK 74145-5751
(918) 384-0002
Mailing address
9710 S 78TH EAST AVE, APT 10105, TULSA, OK 74133-6951
(405) 314-4766
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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