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Individual
MS. SHARON LEE BONNELLBRADLEY
Active
Individual
MS. SHARON LEE BONNELLBRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1024763
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003450
MBHP PROVIDER ID
MA
01
—
1013390
BEACON HEALTH STRATEGIES
MA
05
—
1851489
—
MA
01
—
314436
MBC PROVIDER ID
MA
01
—
550010005757
PACIFICARE PROVIDER ID
MA
01
—
7925159
AETNA PROVIDER ID
MA
01
—
793613
TUFTS PROVIDER ID
MA
01
—
986151
NETWORK PROVIDER ID
MA
01
—
P07505
BCBSPROVIDER ID
MA
Enumeration date
11/30/2006
Last updated
07/09/2007
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