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1851557409
CHARLES GLENN BRADLEY
HAZARD, KY
NPI
1851557409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 3187)
Enumeration Date
2008-08-04
Last Update Date
2008-08-04
Business Address
Mr. CHARLES GLENN BRADLEY L.C.S.W.
213 LOVERN ST SUITE 6
HAZARD, KY 41701-1761
Phone number: 606-438-5649
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Mailing Address
Mr. CHARLES GLENN BRADLEY L.C.S.W.
213 LOVERN ST SUITE 6
HAZARD, KY 41701-1761
Phone number: 606-438-5649
Copy
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