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1184312894
MARK L BRADBURY
KELSO, WA
NPI
1184312894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: WA MG61552309)
Enumeration Date
2023-05-01
Last Update Date
2024-09-02
Business Address
MARK L BRADBURY MA, LMFTA
416 WALNUT ACRES RD
KELSO, WA 98626-9788
Phone number: 208-740-4382
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Mailing Address
MARK L BRADBURY MA, LMFTA
416 WALNUT ACRES RD
KELSO, WA 98626-9788
Phone number: 208-740-4382
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