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Individual

MS. KASSANDRA SPRENKE BRADBERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
222 WALL ST, SEATTLE, WA 98121-1431
(206) 441-3329
Mailing address
222 WALL ST, SEATTLE, WA 98121-1431
(206) 441-3329

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
60630454
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60630454
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
01/09/2019
Last updated
01/09/2019
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