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1053720557
SHANNON DEIRDRE BRADLEY
GULFPORT, MS
NPI
1053720557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW 13312)
Enumeration Date
2014-08-08
Last Update Date
2022-04-22
Business Address
SHANNON DEIRDRE BRADLEY LCSW
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Phone number: 228-822-5710
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Mailing Address
SHANNON DEIRDRE BRADLEY LCSW
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Phone number: 282-822-5710
Copy
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