Individual
BRADLEE RAPHIEL VASQUEZ-VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3518 W 25TH ST, CLEVELAND, OH 44109-1951
(216) 741-2241
Mailing address
3164 MEADOWBROOK BLVD FL 2, CLEVELAND HEIGHTS, OH 44118-2802
(914) 267-4594
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1800471
OH
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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