Individual
MS. ROBYN RENAE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW, LCSW
Contact information
Practice address
1002 LINCOLN AVE, BARABOO, WI 53913-1808
(608) 356-9055
(608) 356-5447
Mailing address
1002 LINCOLN AVE, BARABOO, WI 53913-1808
(608) 356-9055
(608) 356-5447
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
126889-121
WI
1041C0700X
Clinical Social Worker
7834-123
WI
Other
Enumeration date
07/29/2011
Last updated
05/21/2015
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