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Individual

BRADLEY JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1164 S ACOMA ST UNIT 483, DENVER, CO 80210-1654
(720) 443-0997
Mailing address
1164 S ACOMA ST UNIT 483, DENVER, CO 80210-1654

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09928672
CO

Other

Enumeration date
02/28/2022
Last updated
06/06/2024
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