Most Relevant Information
Provider Data
| NPI Number: | 1003524448 |
| Provider Name: | CLARISSA BRADFORD |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/14/2022 |
| Last Updated: | 11/14/2022 |
Provider Practice Location
4449 N 12TH ST
PHOENIX
AZ
850144520
Practice Location Phone/Fax
| Phone: | 6022791427 |
| Fax: |
Provider Mailing Location
4449 N 12TH ST
PHOENIX
AZ
850144520
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |