Desiree Bradley

NPI #1740549906 in Santa Rosa, New Mexico

Provider Information

NPI Number: 1740549906
Entity Type: Individual
Name: Desiree Bradley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 9, 2012
Last Updated: May 9, 2012

Practice Location

Address: 501 S 4TH ST
City: Santa Rosa
State: New Mexico
ZIP Code: 88435-2417
Phone: (575) 472-0745

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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