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1033557020
ANITA CARMEN BRADFORD
MEMPHIS, TN
NPI
1033557020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TN LDC0000000688)
Enumeration Date
2013-06-12
Last Update Date
2013-06-12
Business Address
Ms. ANITA CARMEN BRADFORD LADAC
2960B AUSTIN PEAY HWY
MEMPHIS, TN 38128-5602
Phone number: 901-372-7878
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Mailing Address
Ms. ANITA CARMEN BRADFORD LADAC
PO BOX 281601
MEMPHIS, TN 38168-0005
Phone number: 901-372-7878
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