Individual
MRS. ROSE ANNE BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
25 MIDDLE ST, PORTLAND, ME 04101-4869
(207) 671-0305
(207) 829-8538
Mailing address
137 MIDDLE RD, CUMBERLAND, ME 04021-3710
(207) 671-0305
(207) 829-8538
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11744
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437239910
—
ME
Enumeration date
10/17/2006
Last updated
05/06/2013
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