CHARLES BRADLEY

JENNINGS, LA
NPI1265804231
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2015-10-29
Last Update Date2018-05-08
Business Address
CHARLES BRADLEY MHS
1615 JOHNSON ST STE C
JENNINGS, LA 70546-3650
Phone number: 337-616-0225
Mailing Address
CHARLES BRADLEY MHS
1615 JOHNSON ST STE C
JENNINGS, LA 70546-3650
Phone number: 337-616-0225
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