Individual
GABRIELLE BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 WASHINGTON AVE, MANSFIELD, LA 71052-3103
(318) 872-0262
Mailing address
419 WASHINGTON AVE, MANSFIELD, LA 71052-3103
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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