Karen Bradt | |
84 Pine Trl Ormond Beach FL 32174-6932 | |
(386) 310-3646 | |
Not Available |
Full Name | Karen Bradt |
---|---|
Speciality | Social Worker - Clinical |
Location | 84 Pine Trl, Ormond Beach, Florida |
Authorized Official Name and Position | Karen Bradt (OWNER) |
Authorized Official Contact | 3863103646 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Karen Bradt 84 Pine Trl Ormond Beach FL 32174-6932 Ph: () - | Karen Bradt 84 Pine Trl Ormond Beach FL 32174-6932 Ph: (386) 310-3646 |
NPI Number | 1386208668 |
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Provider Enumeration Date | 04/23/2019 |
Last Update Date | 04/23/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386208668 | NPI | - | NPPES |
019270200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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