Individual
MS. JUANITA BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 467-7600
(734) 467-7636
Mailing address
18060 BELAND ST, DETROIT, MI 48234-3838
(313) 372-1811
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802062440
MI
Other
Enumeration date
05/14/2007
Last updated
08/08/2024
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