Individual
BRADFORD VINCENT LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1053 ALAMEDA DE LAS PULGAS, BELMONT, CA 94002-3507
(650) 245-5367
Mailing address
1053 ALAMEDA DE LAS PULGAS, BELMONT, CA 94002-3507
(650) 245-5367
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS24887
CA
Other
Enumeration date
12/13/2012
Last updated
05/29/2015
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