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William Bradley

Social Worker, Clinical in Austin, TX. Individual provider (NPI-1).

NPI number1265782841
StatusActive
Last updated in NPPESDec 13, 2021

Details

NPI
1265782841
Entity type
Individual (NPI-1)
Name
William Bradley
Sex
Male
Sole proprietor
No
Enumeration date
Sep 11, 2012
Certification date
Dec 13, 2021
Last updated
Dec 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical64883TXYes
104100000X Social Worker64883TX

Practice location

1430 Collier St
Austin, TX 78704-2911

Phone 512-472-4357 · Fax 512-703-1394

Mailing address

1430 Collier St
Austin, TX 78704-2911

Phone 512-472-4357 · Fax 512-703-1394

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