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1225891013
BRADLEY ALAN MONTGOMERY
COLUMBUS, OH
NPI
1225891013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.187209)
Enumeration Date
2024-02-05
Last Update Date
2024-02-05
Business Address
BRADLEY ALAN MONTGOMERY CDCA
246 E CAMPUS VIEW BLVD
COLUMBUS, OH 43235-4634
Phone number: 614-588-9864
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Mailing Address
BRADLEY ALAN MONTGOMERY CDCA
246 E CAMPUS VIEW BLVD
COLUMBUS, OH 43235-4634
Phone number: 614-588-9864
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