Individual
MRS. MICHELLE RAE BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
205 SHIVLER RD, HOOKSTOWN, PA 15050-1726
(724) 630-0995
Mailing address
205 SHIVLER RD, HOOKSTOWN, PA 15050-1726
(724) 630-0995
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC005248
PA
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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