Individual
BRADLEY STEWART RICHARD MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2133 3RD AVE, SEATTLE, WA 98121-2385
(206) 223-3644
(206) 223-1482
Mailing address
222 BELL ST APT 212, EDMONDS, WA 98020-3235
(626) 590-4815
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
02/06/2024
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