BRADLEY BERGDOLL

CLINTON, AR
NPI1295174712
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-06-18
Last Update Date2013-06-18
Business Address
-- BRADLEY BERGDOLL Recovery Assistant
242 SHAKE RAG RD
CLINTON, AR 72031-6629
Phone number: 501-745-6644
Mailing Address
-- BRADLEY BERGDOLL Recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344