Kelly M Bradham LCSW

NPI 1134272701 - Social Worker - 1041C0700X

NPI Details
NPI 1134272701
Gender Female
Enumeration Date 01/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
7 DUNLAP CT
SAVOY IL, 61874-9501, US
Phone (217) 378-4435
Fax
Business Location
7 DUNLAP CT
SAVOY IL, 61874-9501, US
Phone (217) 378-4435
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State
License Number
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According to our database, Ms. Kelly M Bradham LCSW NPI is 1134272701, taxonomy code is 1041C0700X Kelly M Bradham LCSW physically located at 7 Dunlap Ct, Savoy IL, 61874-9501. NPI Number Kelly M Bradham LCSW has the Individual type.

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1134272701 NPI number is provided on an as is basis without warranty of any kind. 1134272701 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly M Bradham LCSW are for informational purposes only.