Individual
BETTY A BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 S PINE ST STE C, VIVIAN, LA 71082-3623
(318) 375-2780
(318) 375-2781
Mailing address
1028 S PINE ST STE C, VIVIAN, LA 71082-3623
(318) 375-2780
(318) 375-2781
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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