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Individual
MICHAEL BRADFORD
Active
Individual
MICHAEL BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
113643
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
08/04/2020
Last updated
08/23/2021
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