Individual
MRS. EBONY BRADFORD-THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10046 S WESTERN AVE, CHICAGO, IL 60643-1926
(773) 429-0300
(773) 429-0200
Mailing address
10046 S WESTERN AVE, CHICAGO, IL 60643-1926
(773) 429-0300
(773) 429-0200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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