BRADLEY W. BASE

EL DORADO, KS
NPI1710944905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: KS  1129)
Enumeration Date2006-05-01
Last Update Date2007-09-26
Business Address
-- BRADLEY W. BASE M.A.
2365 W CENTRAL AVE
EL DORADO, KS 67042-3208
Phone number: 316-321-6036
Mailing Address
-- BRADLEY W. BASE M.A.
407 COUNTRY HILLS CT
AUGUSTA, KS 67010-2502
Phone number: 316-775-3909
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