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Individual

MICHAEL J BRADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW

Contact information

Practice address
2748 N NATIONAL AVE, SPRINGFIELD, MO 65803-4304
(417) 761-5495
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5000

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2024029355
MO

Other

Enumeration date
05/03/2022
Last updated
04/22/2026
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