Individual
LACEY DANSBY BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5107
(405) 425-0364
Mailing address
13808 NE 10TH ST, CHOCTAW, OK 73020-8117
(405) 503-2827
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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