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1134715303
BRADLEY STALKER
JENISON, MI
NPI
1134715303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401018452)
Enumeration Date
2020-12-11
Last Update Date
2023-09-21
Business Address
BRADLEY STALKER MA, LLPC
1348 BALDWIN ST
JENISON, MI 49428-8937
Phone number: 616-404-4564
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Mailing Address
BRADLEY STALKER MA, LLPC
1348 BALDWIN ST
JENISON, MI 49428-8937
Phone number: 616-404-4564
Copy
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