Individual
MRS. KATHI C BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
1407 WINDY RIDGE RD, CHARLOTTE, NC 28270-1138
(704) 236-4041
Mailing address
1407 WINDY RIDGE RD, CHARLOTTE, NC 28270-1138
(704) 236-4041
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A12775
NC
Other
Enumeration date
02/08/2018
Last updated
03/17/2018
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