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MARTHA BRADLEY

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1235780776

Individual Registrant:
 MARTHA  BRADLEY 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
100 GLENDALOUGH CT STE E  TYRONE, GA 30290-2942 US
Tel: 770-683-9375  Fax: --

Contact information for business:
100 GLENDALOUGH CT STE E  TYRONE, GA 30290-2942 US
Tel: 770-683-9375  Fax: --

Registration Information:
NPI: 1235780776
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
GAAPC6784

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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