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1285072710
SUSAN MAE BRADFORD
WILLISTON, ND
NPI
1285072710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: ND 673101510)
Enumeration Date
2013-06-06
Last Update Date
2013-06-06
Business Address
SUSAN MAE BRADFORD LPC
612 4TH ST. E.
WILLISTON, ND 58801
Phone number: 701-570-3842
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Mailing Address
SUSAN MAE BRADFORD LPC
PO BOX 1567
WILLISTON, ND 58802-1567
Phone number: 701-570-3842
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