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1801179387
DIEDRA BRADLEY
FORT SMITH, AR
NPI
1801179387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: AR 2513-M)
Enumeration Date
2011-09-21
Last Update Date
2011-09-21
Business Address
-- DIEDRA BRADLEY LMSW
100 TOWSON AVE
FORT SMITH, AR 72901-2632
Phone number: 479-784-9801
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Mailing Address
-- DIEDRA BRADLEY LMSW
100 TOWSON AVE
FORT SMITH, AR 72901-2632
Phone number: 479-784-9801
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