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Individual
BRADLIE ARIEL DEWALD
Active
Individual
BRADLIE ARIEL DEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-1393
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW-259
WY
1041C0700X
Clinical Social Worker
Primary
LCSW-1393
WY
1041C0700X
Clinical Social Worker
PCSW-844
WY
Other
Enumeration date
09/13/2018
Last updated
12/30/2025
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