Individual
MR. BRADLEY TAYLOR BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3351 EAGLE RUN DR NE, GRAND RAPIDS, MI 49525-7070
(616) 365-8920
(616) 365-8971
Mailing address
3351 EAGLE RUN DR NE, GRAND RAPIDS, MI 49525-7070
(616) 365-8920
(616) 365-8971
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801088063
MI
Other
Enumeration date
07/19/2007
Last updated
07/23/2008
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