Individual
CLARISSA BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4449 N 12TH ST, PHOENIX, AZ 85014-4520
(602) 279-1427
Mailing address
4449 N 12TH ST, PHOENIX, AZ 85014-4520
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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