Individual
LASHANDRA BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
581 MARSHALL ST, BENNETTSVILLE, SC 29512-4546
(843) 319-8955
Mailing address
581 MARSHALL ST, BENNETTSVILLE, SC 29512-4546
(843) 319-8955
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11166
SC
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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