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Individual

NICOLE MARIE BRADBURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
8 E COTTONWOOD ST, COTTONWOOD, AZ 86326-4382
(928) 634-2236
Mailing address
114 W 7TH ST STE 900, AUSTIN, TX 78701-3013
(512) 838-4264

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
20183
AZ
1041C0700X
Clinical Social Worker
Primary
67013
TX
1041C0700X
Clinical Social Worker
LC23732
ME

Other

Enumeration date
08/23/2021
Last updated
08/20/2024
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