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Individual

BRADLEY WOSIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5426 VEGAS DR, LAS VEGAS, NV 89108-2403
(702) 917-2756
Mailing address
8105 MEADOW FALLS ST, NORTH LAS VEGAS, NV 89085-2338
(702) 917-2756

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
7235-S
NV
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
06/17/2016
Last updated
06/17/2016
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