Tyeisha R Bradley
NPI #1144571977 in Fort Campbell, Kentucky
Provider Information
- NPI Number
- 1144571977
- Entity Type
- Individual
- Name
- Tyeisha R Bradley
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Enumeration Date
- Sep 19, 2012
- Last Updated
- Jun 28, 2024
Practice Location
- Address
- 650 JOEL DR
- City
- Fort Campbell
- State
- Kentucky
- ZIP Code
- 42223-5318
- Phone
- (270) 798-8400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Social Worker - Clinical — Clinical |
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