Individual
SUMMER BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10927 CROSSOVER RD, DENHAM SPRINGS, LA 70726-1625
(225) 362-4600
Mailing address
10927 CROSSOVER RD, DENHAM SPRINGS, LA 70726-1625
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5537
LA
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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