Individual
MR. JOHN VINSON BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
924 TIVOLI AVE, EUGENE, OR 97404-1544
(615) 495-8780
Mailing address
924 TIVOLI AVE, EUGENE, OR 97404-1544
(615) 495-8780
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5852
TN
Other
Enumeration date
08/01/2008
Last updated
06/28/2024
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