Individual
BRADLEY ROSS VANOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
1407 S STATE ST, NEW ULM, MN 56073-3715
(507) 354-3181
(507) 354-3183
Mailing address
220 CYPRESS DR, MANKATO, MN 56001-7575
(316) 303-2619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25499
MN
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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