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Individual

VICTORIA JEANNE BRADDOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
805 S BEADLE ST, PAPILLION, NE 68046-2755
(530) 417-7977
Mailing address
805 S BEADLE ST, PAPILLION, NE 68046-2755
(530) 417-7977

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103728
CA
1041C0700X
Clinical Social Worker
ASW85165
CA

Other

Enumeration date
04/08/2020
Last updated
06/13/2023
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