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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. GLENETTA LASCHELLE BRADLEY, LCSW

Active Sole Proprietor

MRS. GLENETTA LASCHELLE BRADLEY, LCSW is a Behavior Analyst healthcare provider located in PERRY, Oklahoma. NPI 1972831188 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · PERRY, OK

Registration Details

NPI Number
1972831188
Provider Type
Individual
Gender
Female
NPI Issued
Nov 28, 2009 (16.703362342621 yrs)
Last Updated
Mar 14, 2022
License
7104 (OK)
Sole Proprietor
Yes

Practice Information

Address
502 N 14TH ST
PERRY, OK, 730775022
Browse OK providers · Browse ZIP 73077
Phone
9183085512
Fax
5802155767
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Behavior Analyst
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.