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1629769658
BRADLY SCOTT MCCOLLUM
SHREVEPORT, LA
NPI
1629769658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 9212)
Enumeration Date
2023-05-19
Last Update Date
2024-04-22
Business Address
Mr. BRADLY SCOTT MCCOLLUM LCSW
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-990-5975
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Mailing Address
Mr. BRADLY SCOTT MCCOLLUM LCSW
190 DONNA LN
STONEWALL, LA 71078-9662
Phone number: 318-918-0958
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