Individual
BRADLEY CARL OLSHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1125 CENTRE ST, JAMAICA PLAIN, MA 02130-3495
(617) 524-3116
Mailing address
45 COLLEGE AVE, MEDFORD, MA 02155-4562
(202) 903-1492
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
228071
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041C0700X
—
MA
Enumeration date
11/16/2022
Last updated
11/16/2022
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