Individual
BRADLEY S LAROCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
410 JORDAN RD APT 108, SEDONA, AZ 86336-4113
(815) 701-6741
Mailing address
410 JORDAN RD APT 108, SEDONA, AZ 86336-4113
(815) 701-6741
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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