Individual
LAURIE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 GALLATIN RD, SUITE 14, MADISON, TN 37115
(615) 612-0580
(615) 860-0656
Mailing address
559 HIGHCREST DR, NASHVILLE, TN 37211-5353
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
850
TN
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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