Individual
JENNIFER M BRADOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
480 S CACHE ST, JACKSON, WY 83001-8222
(307) 222-6040
Mailing address
PO BOX 2299, JACKSON, WY 83001-2299
(307) 222-6040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-837
WY
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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