Individual
LAURA BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4030 MOUNT CARMEL TOBASCO RD, SUITE 102, CINCINNATI, OH 45255
(513) 843-6895
Mailing address
12 E 39TH ST, COVINGTON, KY 41015-1424
(128) 528-0093
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C1200354
OH
Other
Enumeration date
02/14/2014
Last updated
05/23/2018
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