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1477018554
BRADFORD STOKES
LOGAN, UT
NPI
1477018554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 9104416-6009)
Enumeration Date
2019-02-04
Last Update Date
2021-03-24
Business Address
BRADFORD STOKES LVRC, CMHC
246 E 1260 N
LOGAN, UT 84341-7501
Phone number: 435-750-6300
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Mailing Address
BRADFORD STOKES LVRC, CMHC
246 E 1260 N
LOGAN, UT 84341-7501
Phone number: 435-750-6300
Copy
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