Individual
MR. BRADLEY A CHAMBERLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW, LCSW
Contact information
Practice address
645 NE BROOKSHIRE DR, WAUKEE, IA 50263-8761
(469) 585-3462
Mailing address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
(214) 743-6146
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
085938
IA
1041C0700X
Clinical Social Worker
51472
TX
Other
Enumeration date
11/15/2013
Last updated
11/21/2019
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