MRS. Staley Bradburn Justice, LMSW

NPI #1285936260 in Waco, Texas

Provider Information

NPI Number: 1285936260
Entity Type: Individual
Name: MRS. Staley Bradburn Justice, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Nov 24, 2010
Last Updated: Nov 24, 2010

Practice Location

Address: 4800 MEMORIAL DR
Address 2: 151W
City: Waco
State: Texas
ZIP Code: 76711-1329
Phone: (254) 297-3951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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