Individual
BRADLEY ARTHUR NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
723 5TH AVE E, STE 110C, KALISPELL, MT 59901-5321
(773) 972-7426
Mailing address
405 MT HIGHWAY 82, KALISPELL, MT 59901-8045
(773) 972-7426
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWP-LCSW-LIC-4692
MT
Other
Enumeration date
11/06/2013
Last updated
09/16/2016
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