Individual
RYAN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 243-9500
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 243-9500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW010289
GA
171M00000X
Case Manager/Care Coordinator
—
—
376K00000X
Nurse's Aide
400942860709
OH
Other
Enumeration date
12/04/2018
Last updated
09/23/2025
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