Bradley Taylor Bridges, LMSW
Social Worker, Clinical in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1861692782
StatusActive
Last updated in NPPESJul 23, 2008
Details
- NPI
- 1861692782
- Entity type
- Individual (NPI-1)
- Name
- Mr. Bradley Taylor Bridges
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2007
- Last updated
- Jul 23, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801088063 | MI | Yes |
Practice location
3351 Eagle Run Dr NeGrand Rapids, MI 49525-7070
Phone 616-365-8920 · Fax 616-365-8971
Mailing address
3351 Eagle Run Dr NeGrand Rapids, MI 49525-7070
Phone 616-365-8920 · Fax 616-365-8971
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