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Individual

MRS. ANDREA L BRADFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
2917 BAKERVIEW PL, MOUNT VERNON, WA 98273-5789
(360) 510-2812
Mailing address
2817 BAKERVIEW PL, MT VERNON, WA 98273
(360) 510-2812

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60450458
WA

Other

Enumeration date
03/18/2015
Last updated
03/18/2015
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