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1558494674
THEODORE BRADFORD
BROOKLINE, MA
NPI
1558494674
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 110584)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
-- THEODORE BRADFORD LICSW
1368 BEACON ST SUITE 102
BROOKLINE, MA 02446-2872
Phone number: 617-504-0435
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Mailing Address
-- THEODORE BRADFORD LICSW
26 LEE ST
BOSTON, MA 02130-3225
Phone number: 617-504-0435
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