DATRESE MONIQUE BRADLEY

CARBONDALE, IL
NPI1053059949
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180.014457)
Enumeration Date2022-05-22
Last Update Date2022-05-22
Business Address
DATRESE MONIQUE BRADLEY LCPC
103 N ROD LN
CARBONDALE, IL 62901-2031
Phone number: 618-203-6925
Mailing Address
DATRESE MONIQUE BRADLEY LCPC
103 N ROD LN
CARBONDALE, IL 62901-2031
Phone number: 618-203-6925
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