Individual
THOMAS EDWARD BRADLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPRC
Contact information
Practice address
12010 LINWOOD ST, DETROIT, MI 48206-1108
(313) 867-1090
Mailing address
12010 LINWOOD ST, DETROIT, MI 48206-1108
(313) 867-1090
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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