Individual
BRADLEY J WENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
1002 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5328
(434) 979-0335
Mailing address
1002 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5328
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007732
VA
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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