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BRADFORD WILSON, TLLP
TLLP
Psychologist
NPI: 1396081451IndividualAccepts Medicare
Specialties, Licenses & Credentials
Counselor
Counselor
Code: 101Y00000X
6301015339(MI)6361007564(MI)
PsychologistPrimary
Psychologist
Code: 103T00000X
6361007564(MI)
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 2011
Contact & Hours
Via practice · 2 locations total
- Address
- 133 W MAIN ST
BENTON HARBOR, MI 49022 - Phone
- (269) 408-2258
Quick Facts
- NPI
- 1396081451
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 2
- Years in Practice
- 15
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