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1114010451
MICHAEL-DAVID ROBERT BRADFORD
HURST, TX
NPI
1114010451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 20103)
Enumeration Date
2006-09-30
Last Update Date
2010-08-31
Business Address
Mr. MICHAEL-DAVID ROBERT BRADFORD LPC
3045 TRINITY LAKES DR
HURST, TX 76053-7458
Phone number: 817-726-8165
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Mailing Address
Mr. MICHAEL-DAVID ROBERT BRADFORD LPC
3045 TRINITY LAKES DR
HURST, TX 76053-7458
Phone number: 817-726-8165
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