Individual
TIARA BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 BURLINGTON LN STE 3B, FRANKFORT, KY 40601-8444
(859) 254-1035
Mailing address
470 BLUE GRASS RD, ELIZABETHTOWN, KY 42701-9148
(859) 436-8458
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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