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Individual
MS. KIMBERLY J. BRADLEY
Active
Individual
MS. KIMBERLY J. BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6803075060
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1705242 TYPE 21
—
MI
Enumeration date
10/03/2006
Last updated
01/29/2015
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