Individual
LATIFA DICKERSON BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25201 CHAGRIN BLVD STE 390, BEACHWOOD, OH 44122-5637
(216) 910-9015
(216) 910-9015
Mailing address
25201 CHAGRIN BLVD STE 390, BEACHWOOD, OH 44122-5637
(216) 910-9015
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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