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1043525058
INGRID BRADFORD
HOUMA, LA
NPI
1043525058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 3021)
Enumeration Date
2010-08-13
Last Update Date
2010-08-13
Business Address
-- INGRID BRADFORD CIT
521 LEGION AVE
HOUMA, LA 70364-3339
Phone number: 985-857-3612
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Mailing Address
-- INGRID BRADFORD CIT
521 LEGION AVE
HOUMA, LA 70364-3339
Phone number: 985-857-3612
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