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Individual

SHELBY LOUISE BRADFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCMH, NCC, MS, BA

Contact information

Practice address
3500 S DUPONT HWY, DOVER, DE 19901-6041
(302) 212-4051
(302) 212-0106
Mailing address
364 E MAIN ST # 1504, MIDDLETOWN, DE 19709-1482
(302) 212-4051
(302) 212-0106

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0000889
DE

Other

Enumeration date
08/28/2018
Last updated
09/08/2022
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