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1154845360
BRADLEY WARREN CARSON
MARINA, CA
NPI
1154845360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-29
Last Update Date
2018-11-16
Business Address
BRADLEY WARREN CARSON MA
299 12TH ST STE A
MARINA, CA 93933-6003
Phone number: 831-647-7652
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Mailing Address
BRADLEY WARREN CARSON MA
1196 THIRD AVE
CHULA VISTA, CA 91911-3131
Phone number:
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