Individual
GINA BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
314 LAKEVIEW DR, NEWTON, NJ 07860-6859
(973) 296-4523
Mailing address
314 LAKEVIEW DR, NEWTON, NJ 07860-6859
(973) 296-4523
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05248900
NJ
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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