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Individual

JOSEPH WILLIAM BRADHAM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
1180 SAM RITTENBERG BLVD, SUITE 251, CHARLESTON, SC 29407-3382
(843) 343-5562
(843) 766-3351
Mailing address
1057 WINDWARD RD, CHARLESTON, SC 29412-8964
(843) 762-0399

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
816
SC

Other

Enumeration date
08/16/2005
Last updated
07/08/2007
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