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1124620554
JOHNNY RAY BRADLEY
RICHMOND, VA
NPI
1124620554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-11-10
Last Update Date
2020-11-10
Business Address
JOHNNY RAY BRADLEY
1510 WILLOW LAWN DR STE 100D
RICHMOND, VA 23230-3429
Phone number: 804-512-0061
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Mailing Address
JOHNNY RAY BRADLEY
4220 ROSEDOWN PL
RICHMOND, VA 23223-5860
Phone number:
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