Individual
MRS. ELIZABETH MCGINTY BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3455 LAWRENCEVILLE SUWANEE RD STE A, SUWANEE, GA 30024-6425
(678) 622-7154
Mailing address
1080 SECRET COVE DR, SUGAR HILL, GA 30518-5300
(678) 622-7154
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005367
GA
101YP2500X
Professional Counselor
LPC2551
LA
Other
Enumeration date
02/06/2007
Last updated
12/02/2020
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