Individual
MS. PATRICIA RAE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3737 S ELIZABETH ST, SUITE 100, INDEPENDENCE, MO 64057-1759
(816) 373-7577
(816) 373-9572
Mailing address
3737 S ELIZABETH ST, SUITE 100, INDEPENDENCE, MO 64057-1759
(816) 373-7577
(816) 373-9572
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 000663
MO
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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