Individual
KARA BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 RADIO STATION RD, LA PLATA, MD 20646-3369
(301) 609-9887
Mailing address
PO BOX 2924, LA PLATA, MD 20646-2984
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
589561800
—
MD
Enumeration date
11/08/2013
Last updated
11/08/2013
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