| Marti K. Bradley | |
|
109 E 3rd Ave Suite 7 Ellensburg WA 98926-3357 | |
| (509) 925-2123 | |
| (509) 925-2008 |
| Full Name | Marti K. Bradley |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 109 E 3rd Ave, Ellensburg, Washington |
| Authorized Official Name and Position | Marti K. Bradley (OWNER) |
| Authorized Official Contact | 5099252123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marti K. Bradley 109 E 3rd Ave Suite 7 Ellensburg WA 98926-3357 Ph: (509) 925-2123 | Marti K. Bradley 109 E 3rd Ave Suite 7 Ellensburg WA 98926-3357 Ph: (509) 925-2123 |
| NPI Number | 1124188487 |
|---|---|
| Provider Enumeration Date | 12/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124188487 | NPI | - | NPPES |
| 1184635146 | Other | WA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW00006668 (Washington) | Primary |
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