Garson, Bradley C.

Garson, Bradley C. is an sole proprietor health care provider with primary practice located at 54 N 1St St , Black River Falls WI 54615-1311. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Garson, Bradley C. can be contacted via phone (715) 797-5007.

Contact Information

Primary practice address
54 N 1St St Black River Falls WI 54615-1311
Phone: (715) 797-5007
Fax: (715) 333-5007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2907-123 Wisconsin

Profile Details

NPI number 1336133651
LBN Legal business name Garson, Bradley C.
Credentials MSSW LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2005
Last updated Sep 30th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336133651 NPPES
Wisconsin MEDICAID 39655500

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