Individual
BRADY GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
725 30TH ST STE 102, SACRAMENTO, CA 95816-3842
(916) 587-0802
Mailing address
PO BOX 188292, SACRAMENTO, CA 95818-8292
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
125607
CA
Other
Enumeration date
01/03/2020
Last updated
01/15/2025
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