Individual
REGINA BRADBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3301 W PURDUE AVE, MUNCIE, IN 47304-6356
(765) 284-0043
Mailing address
3301 W PURDUE AVE, MUNCIE, IN 47304-6356
(765) 284-0043
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33011798A
IN
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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