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1164904017
BRADLEY LEVI SMITH
PINEVILLE, LA
NPI
1164904017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 2185)
Enumeration Date
2018-09-06
Last Update Date
2018-09-06
Business Address
BRADLEY LEVI SMITH
303 HERMITAGE RD
PINEVILLE, LA 71360-2623
Phone number: 318-794-2806
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Mailing Address
BRADLEY LEVI SMITH
303 HERMITAGE RD
PINEVILLE, LA 71360-2623
Phone number: 318-794-2806
Copy
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