Individual
BRADLEY STUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
747 BENNINGTON RD, COOL RIDGE, WV 25825-7725
(304) 237-2339
Mailing address
PO BOX 883, SHADY SPRING, WV 25918-0883
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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