Individual
BRADLEY GENE OHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
349 E COTTONWOOD AVE, PALMER, AK 99645-6404
(907) 745-7799
(907) 745-7799
Mailing address
PO BOX 446, PALMER, AK 99645-0446
(907) 745-7799
(907) 745-7799
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 562
AK
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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