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1023301405
KIRA S BRADLEY
COLLEGE PARK, GA
NPI
1023301405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA 1906)
Enumeration Date
2011-05-18
Last Update Date
2011-05-18
Business Address
-- KIRA S BRADLEY CACII
5524 OLD NATIONAL HWY
COLLEGE PARK, GA 30349-3212
Phone number: 404-763-8555
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Mailing Address
-- KIRA S BRADLEY CACII
737 PETEYWOOD DR
AUSTELL, GA 30106-8505
Phone number: 770-432-2776
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