| Doctor Name: | MR. BRADLEY C. GARSON |
| NPI Number: | 1336133651 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSSW LCSW |
| License Number: | 2907-123 |
| Business Practice Address: | 54 N 1st St Black River Falls, WI - 546151311 |
| Business Phone Number: | 7157975007 |
| Business Fax Number: | 7153335007 |
| Mailing Address: | 54 N 1st St, Po Box 387 BLACK RIVER FALLS |
| State: | WI |
| Postal Code: | 546151311 |
| Phone Number: | 7152840361 |
| Fax Number: | 7153335007 |
| NPI Enumeration Date: | 09/01/2005 |
| NPI Last Update Date: | 09/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2907-123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |