Individual
SIERRA BRADEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1009 SILVER ST, ELKO, NV 89801-3936
(775) 397-3486
Mailing address
720 STERLING DR, SPRING CREEK, NV 89815-6211
(775) 397-3486
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780936435
—
NV
Enumeration date
05/11/2017
Last updated
05/05/2022
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