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Contact Information

ELICIA BRADLEY
7010 E BOGARD RD
WASILLA, AK99654-4711
 Phone: 907-746-4748
 Fax: 907-746-4750
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for ELICIA BRADLEY · (Female)

NPI Number 1336829365
Status Active
Credentials
Entity Individual
Enumeration date 07/24/2023
Last updated 07/24/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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