Individual
DANIEL P. BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301
(508) 583-4500
Mailing address
940 BELMONT ST, BROCKTON, MA 02301-5596
(508) 583-4500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
118966
MA
Other
Enumeration date
09/06/2012
Last updated
07/06/2018
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