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1497522551
BRADLEY ERIC MACK
ORLANDO, FL
NPI
1497522551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-12-08
Last Update Date
2023-12-08
Business Address
BRADLEY ERIC MACK
1501 W COLONIAL DR
ORLANDO, FL 32804-7120
Phone number: 407-440-1861
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Mailing Address
BRADLEY ERIC MACK
1501 W COLONIAL DR
ORLANDO, FL 32804-7120
Phone number: 321-271-4346
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