LARRY MILES BRADLEY

SAINT ANTHONY, ID
NPI1891139432
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW 30350)
Enumeration Date2013-04-25
Last Update Date2024-06-03
Business Address
LARRY MILES BRADLEY LCSW
335 E MAIN ST STE 1
SAINT ANTHONY, ID 83445-1546
Phone number: 208-356-4900
Mailing Address
LARRY MILES BRADLEY LCSW
PO BOX 18
SAINT ANTHONY, ID 83445-0018
Phone number: 208-356-4900
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