Lisa Bradway MSW

NPI 1194050526 - Social Worker - 104100000X

NPI Details
NPI 1194050526
Gender Female
Enumeration Date 10/02/2009
Last Updated 10/02/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1540 SPRING VALLEY DR
MAIL STOP 581-122
HUNTINGTON WV, 25704-9300, US
Phone (304) 429-6741
Fax
Business Location
1540 SPRING VALLEY DR
MAIL STOP 581-122
HUNTINGTON WV, 25704-9300, US
Phone (304) 429-6741
Fax
Toxanomy
Taxonomy Code 104100000X
License State West Virginia
License Number CP00942698
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According to our database, Ms. Lisa Bradway MSW NPI is 1194050526, taxonomy code is 104100000X and license number is CP00942698, license state is located at West Virginia. Lisa Bradway MSW physically located at 1540 Spring Valley Dr, Huntington WV, 25704-9300. NPI Number Lisa Bradway MSW has the Individual type.

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1194050526 NPI number is provided on an as is basis without warranty of any kind. 1194050526 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Bradway MSW are for informational purposes only.