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1184916884
SHARI LYNN BRADSTREAM
RAPID CITY, SD
NPI
1184916884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SD 07121348)
Enumeration Date
2011-05-12
Last Update Date
2011-05-12
Business Address
-- SHARI LYNN BRADSTREAM CCDC III
1101 E PHILADELPHIA ST
RAPID CITY, SD 57701-1731
Phone number: 605-343-1620
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Mailing Address
-- SHARI LYNN BRADSTREAM CCDC III
1101 E PHILADELPHIA ST
RAPID CITY, SD 57701-1731
Phone number: 605-343-1620
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