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NPI Code Detail

MEDICARE: ELIZABETH BRADFORD MSW

MEDICARE: ELIZABETH BRADFORD MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1134225758
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH BRADFORD MSW
Provider Business Mailing Address
First Line : 2825 LIVERNOIS RD
Second Line :
City : TROY
State : MI
Zip : 48083-1214
Country : US
Telephone Number : 248-680-2060
Fax Number : 248-680-2099
Provider Business Practice Location Address
First Line : 2825 LIVERNOIS RD
Second Line :
City : TROY
State : MI
Zip : 48083-1214
Country : US
Telephone Number : 248-680-2060
Fax Number : 248-680-2099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 03/18/2021

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Directions to “ ELIZABETH BRADFORD MSW” Practice Location

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