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1134629637
CORETTA ANVIS BRADLEY
COLUMBIA, SC
NPI
1134629637
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Former Name
CORETTA ANVIS DIAZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: SC 10583)
Enumeration Date
2018-02-20
Last Update Date
2018-02-20
Business Address
CORETTA ANVIS BRADLEY LMSW
841 CENTENNIAL DR
COLUMBIA, SC 29229-7023
Phone number: 803-727-8312
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Mailing Address
CORETTA ANVIS BRADLEY LMSW
841 CENTENNIAL DR
COLUMBIA, SC 29229-7023
Phone number:
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