Individual
DR. BRADFORD WILLIAM CARROLL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
60 BLOSSOM TREE DR, SHREWSBURY, MA 01545-6233
(508) 792-6624
Mailing address
60 BLOSSOM TREE DR, SHREWSBURY, MA 01545-6233
(508) 792-6624
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1556
MA
Other
Enumeration date
05/19/2007
Last updated
07/08/2007
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