Individual
BRITTNAY TAMARIS BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11358 VAN CLEVE AVE, SAINT LOUIS, MO 63114-1131
(314) 710-1410
Mailing address
1804 JAMESTOWN RD APT 4, SWANSEA, IL 62226-6459
(256) 282-7083
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
824394223
—
MO
Enumeration date
05/05/2022
Last updated
07/02/2024
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