Individual
KELLEY D BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
895 BLUE HILL AVE, DORCHESTER, MA 02124-2902
(617) 506-8188
Mailing address
11 PARKER ST, HYDE PARK, MA 02136-3810
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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