Elisa K Bradley

NPI #1003695776 in Lima, Ohio

Provider Information

NPI Number: 1003695776
Entity Type: Individual
Name: Elisa K Bradley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Sep 22, 2023
Last Updated: Sep 22, 2023

Practice Location

Address: 2963 BLUE JACKET CT
City: Lima
State: Ohio
ZIP Code: 45806-1464
Phone: (567) 825-1192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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