| NPI | 1659656528 |
|---|---|
| Professional Name | TROY DONAVON BRADLEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 75059) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2022-07-21 |