DAKOTA SHAWN BRAGG

BRIDGEPORT, WV
NPI1598532343
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-12-11
Last Update Date2023-12-11
Business Address
DAKOTA SHAWN BRAGG
106 TOLLEY DR
BRIDGEPORT, WV 26330-1668
Phone number: 865-378-6929
Mailing Address
DAKOTA SHAWN BRAGG
115 CRESTVIEW TER APT 4
BRIDGEPORT, WV 26330-1092
Phone number: 304-651-7081
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