Individual
CONNIE G BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
224 OLD MILL RD, WARTBURG, TN 37887-4163
(423) 346-6221
(423) 346-5565
Mailing address
PO BOX 408, WARTBURG, TN 37887-0408
(423) 346-6221
(423) 346-5565
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10355
TN
1041C0700X
Clinical Social Worker
Primary
7517
TN
Other
Enumeration date
05/01/2015
Last updated
03/05/2021
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