Individual
JAMES BRADFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 923-5800
Mailing address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 923-5800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2014028927
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014028927
LICENSE
MO
Enumeration date
01/24/2017
Last updated
01/24/2017
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