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Search › Idaho › 1041C0700X

Larry Bradley, LCSW

NPI 1891139432 · on the registry since 2013

Practice

Address
335 E Main St Ste 1
Saint Anthony, ID 83445
Phone
(208) 356-4900
Fax
(208) 624-4030
Organisation at this address
Upper Valley Community Health Services Inc
Upper Valley Community Health Services Inc
Upper Valley Community Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Additional practice sites

  • 72 S 1st E Ste 101, Rexburg, ID
  • 3729 Woodking Dr Ste 1, Idaho Falls, ID

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-06-03

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 Idaho