Individual
MRS. EZRINA BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6918 W WINDSOR AVE, BERWYN, IL 60402-3334
(708) 995-3836
Mailing address
6918 W WINDSOR AVE, BERWYN, IL 60402-3334
(708) 995-3836
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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