Individual
BRADFORD DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 W HARRISON ST, SULLIVAN, IL 61951-1907
(217) 728-4358
Mailing address
12 W HARRISON ST, SULLIVAN, IL 61951-1907
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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