Individual
MR. BRADLEY J REDEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, APBCC, CCTP
Contact information
Practice address
3280 E BELTLINE CT NE STE 100, GRAND RAPIDS, MI 49525-9494
(616) 610-9994
Mailing address
5510 LILLY CT SW, WYOMING, MI 49509-9204
(616) 610-9994
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL05879000
NJ
1041C0700X
Clinical Social Worker
Primary
6801095932
MI
Other
Enumeration date
09/16/2013
Last updated
02/22/2020
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