BRADLEY JOLINE ANTONIDES

FORT POLK, LA
NPI1235561093
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: WA  PY60633804)
Enumeration Date2013-08-04
Last Update Date2017-02-21
Business Address
-- BRADLEY JOLINE ANTONIDES M.S.
1585 3RD ST
FORT POLK, LA 71459-5102
Phone number: 337-531-6140
Mailing Address
-- BRADLEY JOLINE ANTONIDES M.S.
1585 3RD ST
FORT POLK, LA 71459-5102
Phone number: