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Individual

MS. JOANN MICHELLE BRADFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, CSAC

Contact information

Practice address
544 GLEN RIDGE RD, SUITE 201, VIRGINIA BEACH, VA 23452
(757) 461-0600
Mailing address
100 EMANCIPATION DR BLDG 148, JOANN M. BRADFORD, HAMPTON, VA 23667-0001
(757) 722-9961

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904007966
VA

Other

Enumeration date
08/21/2012
Last updated
01/11/2016
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