Individual
MR. BRADLEY OLIVER LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1353 DORCHESTER AVE, BOSTON, MA 02122-2932
(617) 288-3230
(617) 282-0954
Mailing address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(617) 288-3230
(617) 282-0954
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
115769
MA
Other
Enumeration date
11/28/2007
Last updated
12/13/2011
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