Most Relevant Information
Provider Data
| NPI Number: | 1003535311 |
| Provider Name: | BETHANY LEIGH BRADLEY LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 68595 |
Most Important Dates
| Enumeration Date: | 08/22/2022 |
| Last Updated: | 08/22/2022 |
Provider Practice Location
4142 GREEN MEADOW DR
SAN ANGELO
TX
769040701
Practice Location Phone/Fax
| Phone: | 3257167718 |
| Fax: |
Provider Mailing Location
4142 GREEN MEADOW DR
SAN ANGELO
TX
769040701
Provider Mailing Phone/Fax
| Phone: | 3257167718 |
| Fax: |