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1295176444
BRADLEY CHARLES SUBLETTE
MAUMELLE, AR
NPI
1295176444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 6904-C)
Enumeration Date
2013-07-16
Last Update Date
2016-08-29
Business Address
-- BRADLEY CHARLES SUBLETTE LCSW
102 COUNTRY CLUB PKWY
MAUMELLE, AR 72113-6705
Phone number: 501-628-9066
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Mailing Address
-- BRADLEY CHARLES SUBLETTE LCSW
32 BELLE RIVER CV
MAUMELLE, AR 72113-7024
Phone number: 501-352-2429
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