MARK LAVELLE BRADFORD

SPRINGFIELD, MO
NPI1396867271
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: MO  PYR0472)
Enumeration Date2007-04-04
Last Update Date2007-07-09
Business Address
Dr. MARK LAVELLE BRADFORD
309 N JEFFERSON AVE STE 245
SPRINGFIELD, MO 65806-1108
Phone number: 417-833-9999
Mailing Address
Dr. MARK LAVELLE BRADFORD
309 N JEFFERSON AVE STE 245
SPRINGFIELD, MO 65806-1108
Phone number: 417-833-9999
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