Individual
MR. BRADLEY C. GARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSSW LCSW
Contact information
Practice address
54 N 1ST ST, BLACK RIVER FALLS, WI 54615-1311
(715) 797-5007
(715) 333-5007
Mailing address
54 N 1ST ST, PO BOX 387, BLACK RIVER FALLS, WI 54615-1311
(715) 284-0361
(715) 333-5007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2907-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39655500
—
WI
Enumeration date
09/01/2005
Last updated
09/30/2007
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