Individual
JULIE BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000944
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009857
—
VT
01
—
14Y001575VT01
ANTHEM
VT
01
—
2162822
CIGNA
VT
01
—
59333
BLUE CROSS
VT
Enumeration date
10/10/2006
Last updated
10/28/2008
Update your record
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