Individual
BRADLEY NORMAN DENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1310 RAEFORD RD, FAYETTEVILLE, NC 28305-5026
(910) 485-6336
(866) 341-7509
Mailing address
7006 LAMURE ST, FAYETTEVILLE, NC 28311-9307
(910) 488-9966
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C002058
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003509
—
NC
Enumeration date
09/16/2006
Last updated
07/09/2007
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