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Diedra Bradley, LMSW
NPI 1801179387 · on the registry since 2011
Practice
- Address
- 100 Towson Ave
Fort Smith, AR 72901 - Phone
- (479) 784-9801
- Fax
- (479) 784-9805
- Organisation at this address
- Maxus Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-09-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas