Kelley D Bradshaw

NPI #1063383354 in Dorchester, Massachusetts

Provider Information

NPI Number: 1063383354
Entity Type: Individual
Name: Kelley D Bradshaw
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Sep 17, 2025
Last Updated: Sep 17, 2025

Practice Location

Address: 895 BLUE HILL AVE
City: Dorchester
State: Massachusetts
ZIP Code: 02124-2902
Phone: (617) 506-8188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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