Bradham, Kelly M

Bradham, Kelly M is an sole proprietor health care provider with primary practice located at 7 Dunlap Ct , Savoy IL 61874-9501. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bradham, Kelly M can be contacted via phone (217) 378-4435.

Contact Information

Primary practice address
7 Dunlap Ct Savoy IL 61874-9501
Phone: (217) 378-4435
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1134272701
LBN Legal business name Bradham, Kelly M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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