Individual
STACIE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7741 ROSWELL RD, SANDY SPRINGS, GA 30350-4845
(678) 524-2102
Mailing address
7741 ROSWELL RD, SANDY SPRINGS, GA 30350-4845
(678) 524-2102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
251S00000X
GA
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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