Individual
DEANNA LYNN BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
401 WILLIAMS STREET, WHALEYVILLE, MD 21872-2114
(443) 235-4122
(410) 352-5735
Mailing address
401 WILLIAMS ST, BERLIN, MD 21811-1219
(443) 235-4122
(410) 352-5735
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13306
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413773600
—
MD
Enumeration date
09/22/2005
Last updated
04/24/2025
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