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Marti K Bradley, MSW ACSW LICSW

Social Worker, Clinical in Walla Walla, WA. Individual provider (NPI-1).

NPI number1184635146
StatusActive
Last updated in NPPESSep 24, 2018

Details

NPI
1184635146
Entity type
Individual (NPI-1)
Name
Marti K Bradley
Credential
MSW ACSW LICSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 11, 2006
Last updated
Sep 24, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalLW00006668WAYes

Practice location

30 W Main St Ste 207
Walla Walla, WA 99362

Phone 509-876-0100 · Fax 509-925-2008

Mailing address

30 W Main St Ste 207
Walla Walla, WA 99362-2872

Phone 509-876-0100 · Fax 509-925-2008

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