Individual
BIANCA M BRADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
1101 N POINT BLVD STE 128, BALTIMORE, MD 21224-3417
(443) 231-3040
Mailing address
809 OLYMPIC SQ UNIT 132, ABERDEEN, MD 21001-3973
(410) 877-5489
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT2230
MD
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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