BRADLEY LAKE

WASHINGTON, DC
NPI1548625205
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: DC  320386)
Enumeration Date2015-12-23
Last Update Date2015-12-23
Business Address
-- BRADLEY LAKE LICSW, LCSW-C
3000 CONNECTICUT AVE NW
WASHINGTON, DC 20008-2509
Phone number: 202-238-9541
Mailing Address
-- BRADLEY LAKE LICSW, LCSW-C
3000 CONNECTICUT AVE NW
WASHINGTON, DC 20008-2509
Phone number: 202-238-9541
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