Individual
MR. BRADLEY DEAN NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
4761 CORRALES DR, SAN JOSE, CA 95136-2613
(408) 265-6559
Mailing address
4761 CORRALES DR, SAN JOSE, CA 95136-2613
(408) 265-6559
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 3810
CA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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