Individual
MS. CECELIA FAYE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2909 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5044
(573) 803-1402
(573) 803-1405
Mailing address
221 GLENDALE AVE, APT. 5, LEXINGTON, KY 40511
(859) 576-8090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004464
MO
Other
Enumeration date
10/02/2006
Last updated
02/25/2020
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