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1285971069
BRIAN M BRADIGAN
MOORESVILLE, NC
NPI
1285971069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 3042A)
Enumeration Date
2013-01-14
Last Update Date
2013-01-14
Business Address
-- BRIAN M BRADIGAN LCASA
631 BRAWLEY SCHOOL RD STE 200B, PMB301
MOORESVILLE, NC 28117-6204
Phone number: 704-884-2060
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Mailing Address
-- BRIAN M BRADIGAN LCASA
2505 COURT DR
GASTONIA, NC 28054-2140
Phone number: 704-476-4106
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