MS. Kelly M Bradham, LCSW

NPI #1134272701 in Savoy, Illinois

Provider Information

NPI Number
1134272701
Entity Type
Individual
Name
MS. Kelly M Bradham, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jan 18, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
7 DUNLAP CT
City
Savoy
ZIP Code
61874-9501
Phone
(217) 378-4435

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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