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Individual

MRS. JESSICA LEAH BRADFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, TLLP

Contact information

Practice address
1450 S LAPEER RD, OXFORD, MI 48371-6108
(248) 969-9932
(248) 969-0840
Mailing address
5620 LAKEVIEW BLVD, GOODRICH, MI 48438-9654

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103T00000X
Psychologist
6301016655
MI

Other

Enumeration date
06/06/2016
Last updated
04/26/2018
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