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1528072279
LEE M BRADSHAW
PROVIDENCE, RI
NPI
1528072279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI LCDP00093)
Enumeration Date
2006-07-28
Last Update Date
2009-03-27
Business Address
-- LEE M BRADSHAW LCDP
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: 401-274-2500
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Mailing Address
-- LEE M BRADSHAW LCDP
528 N MAIN ST
PROVIDENCE, RI 02904-5757
Phone number:
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