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Bradley Neal Martin, LMSW

Social Worker, Clinical in Columbia, SC. Individual provider (NPI-1).

NPI number1144729153
StatusActive
Last updated in NPPESFeb 5, 2018

Details

NPI
1144729153
Entity type
Individual (NPI-1)
Name
Bradley Neal Martin
Credential
LMSW
Sex
Male
Sole proprietor
No
Enumeration date
Feb 5, 2018
Last updated
Feb 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical12411SCYes

Practice location

3809 Rosewood Dr
Columbia, SC 29205-3533

Phone 803-939-2642

Mailing address

3809 Rosewood Dr
Columbia, SC 29205-3533

Phone 803-939-2642

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