Individual
MS. ALYSA N BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
(516) 822-6111
Mailing address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
11/22/2023
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