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Individual

MS. PATRICIA A. BRADLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, ED.S.

Contact information

Practice address
185 BROAD STREET, BLOOMFIELD, NJ 07003
(973) 759-5610
(973) 759-5610
Mailing address
208 BEECH STREET, BELLEVILLE, NJ 07109
(973) 759-5610
(973) 759-5610

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PC01788
NJ

Other

Enumeration date
10/09/2008
Last updated
10/09/2008
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