Individual
ABIGAIL MARIE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1675
Mailing address
8247 VERGENNES ST SE, ADA, MI 49301-9118
(734) 904-7776
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801109587
MI
Other
Enumeration date
06/03/2021
Last updated
04/04/2025
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