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Latifa Dickerson Bradley
Peer Specialist in Beachwood, Ohio
NPI 1225654205

Latifa Dickerson Bradley is a Peer Specialist based in Beachwood, OH. Latifa Dickerson Bradley practices in Beachwood, OH. The NPI Number for Latifa Dickerson Bradley is 1225654205 and holds a License No. (Ohio).

The current practice location address for Latifa Dickerson Bradley is 25201 Chagrin Blvd Ste 390, Beachwood, OH and can be reached out via phone at 216-910-9015 and via fax at 216-910-9015. You can also correspond with Latifa Dickerson Bradley through the mailing address at 25201 CHAGRIN BLVD STE 390, BEACHWOOD, OH - 44122-5637 (mailing address contact number: 216-910-9015).

Location: 25201 Chagrin Blvd Ste 390, Beachwood, OH, 44122-5637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225654205
Provider Name
Latifa Dickerson Bradley
Credential
Provider Entity Type
Individual
Gender
Female
Address
25201 Chagrin Blvd Ste 390, Beachwood, OH, 44122-5637
Phone Number
216-910-9015
Fax Number
216-910-9015
Provider Enumeration Date
06/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
25201 Chagrin Blvd Ste 390
City
Beachwood
State
Ohio
Zip
44122-5637
Phone Number
216-910-9015
Fax Number
216-910-9015
person
Provider Business Mailing Address Details
Address
25201 Chagrin Blvd Ste 390
City
Beachwood
State
Ohio
Zip
44122-5637
Phone Number
216-910-9015
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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