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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARRY MILES BRADLEY, LCSW

Active

LARRY MILES BRADLEY, LCSW is a Clinical Social Worker healthcare provider located in SAINT ANTHONY, Idaho. NPI 1891139432 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SAINT ANTHONY, ID

Registration Details

NPI Number
1891139432
Provider Type
Individual
Gender
Male
NPI Issued
Apr 25, 2013 (13.28602817305 yrs)
Last Updated
Jun 3, 2024
License
LCSW 30350 (ID)

Practice Information

Address
335 E MAIN ST STE 1
SAINT ANTHONY, ID, 834451546
Browse ID providers · Browse ZIP 83445
Phone
2083564900
Fax
2086244030
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in SAINT ANTHONY, ID

Name Credential NPI
SPENCER EMERY WEBB LCSW 1871696831
LEIF HOLBROOK SORENSEN LCSW 1992903561
BETH WINEGAR LCSW 1225397102
AMY IRENE OHS LCSW 1831539980
MRS. KATIE MICHELLE MCFARLAND LCSW 1205375490
MINDY JENSEN LMSW 1114412350
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.