Individual
DENISE MARIE BAKER-BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LSW
Contact information
Practice address
685 PLEASANT ST, REAR/SUITE B, BROCKTON, MA 02301-3072
(866) 577-8344
Mailing address
288 CHATHAM WEST DR, BROCKTON, MA 02301-1317
(508) 348-2969
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10698
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10698
LICENSE MASSAGE THERAPIST
MA
01
—
3029969
LICENSED SOCIAL WORKER
MA
Enumeration date
04/22/2013
Last updated
04/22/2013
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