Individual
BRADY EUGENE BEZIAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
7085 SYDNEY CURV, MONTGOMERY, AL 36117-3509
(334) 270-5502
(334) 270-5503
Mailing address
7085 SYDNEY CURV, MONTGOMERY, AL 36117-3509
(334) 270-5502
(334) 270-5503
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4105C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
963961
BEACON HEALTH OPTIONS
—
Enumeration date
01/11/2018
Last updated
07/08/2019
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