Bradley Shaw

NPI #1104229871 in Bryant, Arkansas

Provider Information

NPI Number
1104229871
Entity Type
Individual
Name
Bradley Shaw
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Oct 8, 2014
Last Updated
Oct 8, 2014

Practice Location

Address
3708 ROBINWOOD CIR
City
Bryant
ZIP Code
72022-8374
Phone
(501) 993-5465

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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