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1265162978
JESSICA L BRADWELL
RUSSELLVILLE, AR
NPI
1265162978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-06-15
Last Update Date
2024-07-30
Business Address
JESSICA L BRADWELL MS
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801-2803
Phone number: 479-964-2011
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Mailing Address
JESSICA L BRADWELL MS
2412 N 55TH LN
FORT SMITH, AR 72904-5840
Phone number: 850-693-5271
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