Organization
BRADLEY COUNSELING CENTERS LICENSED CLINICAL SOCIAL WORKER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLIE MAE BRADLEY LCSW (PRESIDENT)
(559) 916-7585
Entity
Organization
Contact information
Practice address
2519 W SHAW AVE, SUITE #100, FRESNO, CA 93711-3311
(559) 230-1008
(559) 230-1799
Mailing address
PO BOX 27065, FRESNO, CA 93729-7065
(559) 916-7585
(559) 230-1799
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW11249
CA
Other
Enumeration date
05/21/2013
Last updated
03/28/2014
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