Individual
MR. BRADFORD WHITING LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1010 S MAIN ST, FALL RIVER, MA 02724-2855
(508) 235-5010
(508) 235-5053
Mailing address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 679-5222
(508) 324-7782
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
207337
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207337
STATE OF MASSACHUSETTS
MA
Enumeration date
03/25/2013
Last updated
03/25/2013
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