BRADLEY SHAW
Counselor - Professional
Active
Individual
NPI: 1104229871
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | P0002005 (AR) |
Frequently Asked Questions
NPI 1104229871 is the National Provider Identifier for BRADLEY SHAW, a Counselor - Professional provider located in Bryant, AR. This NPI was enumerated on October 8, 2014.
BRADLEY SHAW practices at 3708 ROBINWOOD CIR, Bryant, AR 72022.
Quick Facts
- NPI
- 1104229871
- Type
- Individual
- Enumerated
- Oct 8, 2014
- Last Updated
- Oct 8, 2014
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