Individual
MR. BRADLEY M CAVANAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LISW
Contact information
Practice address
909 MAIN ST, SUITE 505, DUBUQUE, IA 52001-6712
(563) 556-0699
(563) 583-3077
Mailing address
6118 VALLEY WOOD CT, ASBURY, IA 52002-9372
(563) 663-7317
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007212
IA
1041C0700X
Clinical Social Worker
2005033793
MO
Other
Enumeration date
08/17/2006
Last updated
04/06/2009
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