LEE M BRADSHAW

PROVIDENCE, RI
NPI1528072279
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI  LCDP00093)
Enumeration Date2006-07-28
Last Update Date2009-03-27
Business Address
-- LEE M BRADSHAW LCDP
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: 401-274-2500
Mailing Address
-- LEE M BRADSHAW LCDP
528 N MAIN ST
PROVIDENCE, RI 02904-5757
Phone number: