Organization
ELIZABETH HUBBARD BRADY, MSW, LICSW, LLC
Active
Organization
ELIZABETH HUBBARD BRADY, MSW, LICSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH HUBBARD BRADY LICSW (OWNER)
(651) 523-8800
Entity
Organization
Contact information
Practice address
1619 DAYTON AVE STE 110, SAINT PAUL, MN 55104-6276
(651) 523-8800
(651) 523-8811
Mailing address
1619 DAYTON AVE STE 110, SAINT PAUL, MN 55104-6276
(651) 523-8800
(651) 523-8811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09797
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55G76BR
BLUE CROSS/BLUE SHIELD
MN
Enumeration date
02/26/2008
Last updated
02/26/2008
Update your record
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