Individual
MR. BRADLEY ALAN KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
31 HASTINGS ST, MENDON, MA 01756
(508) 473-1200
(508) 473-1226
Mailing address
31 HASTINGS ST, MENDON, MA 01756
(508) 473-1200
(508) 473-1226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1018338
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PP0392
BCBS
MA
Enumeration date
10/10/2006
Last updated
07/08/2007
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