Organization
PATRICIA HAYMAN BRADSHAW LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA JANE HAYMAN BRADSHAW MSW/LCSW (PRESIDENT)
(585) 349-2829
Entity
Organization
Contact information
Practice address
85 S UNION ST, SUITE 205, SPENCERPORT, NY 14559-1255
(585) 349-2829
(585) 349-2767
Mailing address
PO BOX 485, N. CHILI, NY 14514
(585) 594-4574
(585) 594-4445
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
R036739-1
NY
Other
Enumeration date
11/19/2007
Last updated
05/03/2012
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