| Doctor Name: | ROBERT W BRADFORD |
| NPI Number: | 1093030561 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LISW-CP |
| License Number: | 6310 |
| Business Practice Address: | 410 University Pkwy Suite 2300 Aiken, SC - 298016807 |
| Business Phone Number: | 8033351219 |
| Business Fax Number: | 8033351689 |
| Mailing Address: | 410 University Pkwy, Suite 2300 AIKEN |
| State: | SC |
| Postal Code: | 298016807 |
| Phone Number: | 8033351219 |
| Fax Number: | 8033351689 |
| NPI Enumeration Date: | 03/29/2010 |
| NPI Last Update Date: | 02/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6310 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |