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Contact Information

MICHAEL W BRADBURN, LCSW
1819 BAY SCOTT CIR
SUITE 109
NAPERVILLE, IL60540-1129
 Phone: 630-357-2456
 Fax: 630-357-2482
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counselor

101Y00000X
 

Marriage & Family Therapist

106H00000X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for MICHAEL W BRADBURN · (Male)

NPI # 1205140811
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/06/2010
Last updated 08/01/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 149.008325
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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