Individual
LIBERTY BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 TOPEKA ST, BOSTON, MA 02118-2717
(617) 442-1499
Mailing address
10 MERRYMOUNT RD APT 305, QUINCY, MA 02169-2280
(310) 210-5372
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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