Mark Bradley

NPI #1053727156 in Fort Polk, Louisiana

Provider Information

NPI Number
1053727156
Entity Type
Individual
Name
Mark Bradley
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jul 9, 2014
Last Updated
Jul 9, 2014

Practice Location

Address
1585 3RD ST
Address 2
BJACH
ZIP Code
71459-5102
Phone
(337) 531-3942

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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