Individual
BRADLEY DISKIN
Active
Individual
BRADLEY DISKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15692
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881792745
NPI
FL
Enumeration date
10/09/2020
Last updated
10/09/2020
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