Most Relevant Information
Provider Data
| NPI Number: | 1003273137 |
| Provider Name: | DONECIA BRADLEY BSW |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/20/2016 |
| Last Updated: | 05/07/2020 |
Provider Practice Location
2404 FERRAND ST STE 24
MONROE
LA
712013233
Practice Location Phone/Fax
| Phone: | 3183231560 |
| Fax: | 3183235682 |
Provider Mailing Location
2404 FERRAND ST STE 24
MONROE
LA
712013233
Provider Mailing Phone/Fax
| Phone: | 3183231560 |
| Fax: | 3183235682 |