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1477063055
BRADLEY MADSEN
WEST DES MOINES, IA
NPI
1477063055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 10137)
Enumeration Date
2017-10-09
Last Update Date
2017-10-09
Business Address
BRADLEY MADSEN BS, CADC
1211 VINE ST
WEST DES MOINES, IA 50265-4472
Phone number: 515-809-1036
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Mailing Address
BRADLEY MADSEN BS, CADC
1211 VINE ST
WEST DES MOINES, IA 50265-4472
Phone number:
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