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Individual
WILLIAM BRADLEY
Active
Individual
WILLIAM BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
64883
TX
1041C0700X
Clinical Social Worker
Primary
64883
TX
Other
Enumeration date
09/11/2012
Last updated
12/13/2021
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