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1528492956
SUSAN BRADLEY LACUS
VINEYARD HAVEN, MA
NPI
1528492956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2013-08-21
Last Update Date
2013-08-21
Business Address
SUSAN BRADLEY LACUS MA
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Phone number: 508-693-7900
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Mailing Address
SUSAN BRADLEY LACUS MA
PO BOX 1444
EDGARTOWN, MA 02539-1444
Phone number: 508-627-2271
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