Individual
MR. BRADFORD DOUGLAS KRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
20 WILSEY SQ, SUITE C., RIDGEWOOD, NJ 07450-3793
(201) 445-1068
(201) 445-7995
Mailing address
65 LIVINGSTON AVE, LYNDHURST, NJ 07071-1001
(908) 256-3263
(201) 355-8270
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05308600
NJ
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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