Individual
MR. CHARLES GLENN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
213 LOVERN ST, SUITE 6, HAZARD, KY 41701-1761
(606) 438-5649
(606) 714-0500
Mailing address
213 LOVERN ST, SUITE 6, HAZARD, KY 41701-1761
(606) 438-5649
(606) 714-0500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3187
KY
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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