Individual
MR. BRADFORD LOUIS MADREPERL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
45 MEMORIAL PKWY, LONG BRANCH, NJ 07740-6720
(732) 229-0800
(732) 229-0800
Mailing address
45 MEMORIAL PKWY, LONG BRANCH, NJ 07740-6720
(732) 229-0800
(732) 229-0800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00032400
NJ
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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