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Organization

CHRIS BRADY THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER L BRADY LMSW (OWNER / PSYCHOTHERAPIST)
(248) 231-3620
Entity
Organization

Contact information

Practice address
725 S ADAMS RD STE L-167, BIRMINGHAM, MI 48009-6987
(248) 231-3620
Mailing address
2904 GRAYSON ST APT A, FERNDALE, MI 48220-1097
(248) 231-3620

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6801096831
LMSW- LICENSED MASTERS SOCIAL WORKER
MI
Enumeration date
08/06/2019
Last updated
08/06/2019
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