Individual
MRS. CANDICE NICOLE BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHA, CM
Contact information
Practice address
112 E 7TH ST, CHANDLER, OK 74834-2820
(405) 258-2178
(405) 258-2478
Mailing address
112 MCKINLEY AVE, CHANDLER, OK 74834-1622
(405) 258-2178
(405) 258-2478
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
247200000X
Other Technician
—
—
Other
Enumeration date
08/23/2007
Last updated
03/12/2009
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