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1265726624
BRADLEY LAWRENCE MALLETT
COLORADO SPRINGS, CO
NPI
1265726624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO LPC.0013536)
Enumeration Date
2011-06-02
Last Update Date
2019-05-06
Business Address
BRADLEY LAWRENCE MALLETT MA, LPC
1795 JET WING DR
COLORADO SPRINGS, CO 80916-2332
Phone number: 719-572-6100
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Mailing Address
BRADLEY LAWRENCE MALLETT MA, LPC
220 RUSKIN DR
COLORADO SPRINGS, CO 80910-2522
Phone number: 719-572-6100
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