Shauna S Bradley
Social Worker, Clinical in Park City, UT. Individual provider (NPI-1).
NPI number1992736656
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1992736656
- Entity type
- Individual (NPI-1)
- Name
- Shauna S Bradley
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 5, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 121919-3501 | UT | Yes |
Practice location
2078 Prospector AvePark City, UT 84060-7321
Phone 435-645-7097 · Fax 435-783-4243
Mailing address
Po Box 681151Park City, UT 84068-1151
Phone 435-645-7097 · Fax 435-783-4243
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All 34 Clinical Social Worker providers in Park City · All 891 providers in Park City
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