Individual
MS. KORY BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR STE 4-420, FAIRFAX, VA 22031-4512
(703) 289-7560
Mailing address
8221 WILLOW OAKS CORPORATE DR STE 4-420, FAIRFAX, VA 22031-4512
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
PA
1041C0700X
Clinical Social Worker
Primary
0904009544
VA
Other
Enumeration date
11/02/2011
Last updated
03/28/2024
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