Individual
MARIA L BRADY
Active
Individual
MARIA L BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-09485
NM
1041C0700X
Clinical Social Worker
Primary
X-1221
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43134271
—
NM
Enumeration date
08/06/2020
Last updated
09/27/2022
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