Individual
JENNIFER BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
790 CLEVELAND AVE S, SUITE 212, SAINT PAUL, MN 55116-3858
(612) 237-5243
Mailing address
3816 25TH AVE S, MINNEAPOLIS, MN 55406-3010
(612) 237-5243
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21020
MN
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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