Individual
MR. DANIEL E BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1064
(617) 855-2328
Mailing address
45 JUDITH LN APT 6, WALTHAM, MA 02452-7245
(334) 333-5277
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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