Organization
BROAD MEADOW COOPERATIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY THOMAS EARDLEY LMFT (OWNER)
(978) 494-4460
Entity
Organization
Contact information
Practice address
7 CUBA ST, ANDOVER, MA 01810-3407
(978) 494-4460
Mailing address
7 CUBA ST, ANDOVER, MA 01810-3407
(978) 494-4460
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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