Individual
TERESA ELIZABETH BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAPSW
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 280-7085
Mailing address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 280-7085
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131972-121
WI
Other
Enumeration date
11/25/2022
Last updated
11/25/2022
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