Individual
LAURA KATHRYN BRADBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
306 RODMAN RD, AUBURN, ME 04210-3830
(207) 468-1106
Mailing address
PO BOX 7043, CAPE PORPOISE, ME 04014-7043
(207) 468-1106
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC15030
ME
1041C0700X
Clinical Social Worker
MC13384
ME
Other
Enumeration date
12/28/2011
Last updated
08/04/2015
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