Mallory Bradley Valid NPI

Individual provider · Clinical Social Worker · Manasquan, NJ

NPI

1063950152

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

44SC05719700 (NJ)

Sex

Female

Sole proprietor

No

Enumerated

2017-02-08

Last updated

2020-05-06