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1184276511
BRADLEY ADAIR VATTILANA
ESTERO, FL
NPI
1184276511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH21446)
Enumeration Date
2019-07-16
Last Update Date
2024-01-05
Business Address
BRADLEY ADAIR VATTILANA MS, LMHC
22904 LYDEN DR UNIT 104
ESTERO, FL 33928-7048
Phone number: 239-494-3951
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Mailing Address
BRADLEY ADAIR VATTILANA MS, LMHC
22904 LYDEN DR UNIT 104
ESTERO, FL 33928-7048
Phone number: 239-494-3951
Copy
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