Individual
MR. BRADLEY ALLEN LABRADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3285 FERGUSON ST, SW, TUMWATER, WA 98512
(360) 943-1907
Mailing address
1714 14TH AVE SW, OLYMPIA, WA 98502-5702
(360) 701-2452
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC60782624
WA
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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