Individual
CAROL BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1222 E VOORHEES ST, DANVILLE, IL 61834-6249
(217) 477-4500
(217) 443-6613
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 387-5600
(815) 316-4726
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149011786
IL
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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