Maria Bradley, LICSW
Social Worker, Clinical in Eagan, MN. Individual provider (NPI-1).
NPI number1306563408
StatusActive
Last updated in NPPESAug 23, 2023
Details
- NPI
- 1306563408
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Maria Bradley
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2022
- Certification date
- Aug 23, 2023
- Last updated
- Aug 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 28435 | MN | Yes |
Practice location
3000 Ames Crossing Rd Ste 600Eagan, MN 55121-2519
Phone 651-774-0011 · Fax 651-774-0606
Mailing address
3000 Ames Crossing Rd Ste 600Eagan, MN 55121-2519
Phone 651-219-0135
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All 80 Clinical Social Worker providers in Eagan · All 2,108 providers in Eagan
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