Individual
MRS. BRIANNA L BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MSSW
Contact information
Practice address
3310 E 10TH ST # 166, JEFFERSONVILLE, IN 47130-7285
(812) 670-5202
Mailing address
3310 E 10TH ST # 166, JEFFERSONVILLE, IN 47130-7285
(812) 670-5202
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33009311A
IN
1041C0700X
Clinical Social Worker
Primary
34009480A
IN
Other
Enumeration date
07/18/2019
Last updated
10/21/2021
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