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1609012764
BRAD T TEDFORD
DECATUR, GA
NPI
1609012764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA lpc005510)
Enumeration Date
2008-12-19
Last Update Date
2008-12-19
Business Address
Mr. BRAD T TEDFORD LPC
120 E TRINITY PL
DECATUR, GA 30030-3302
Phone number: 404-378-2300
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Mailing Address
Mr. BRAD T TEDFORD LPC
120 E TRINITY PL
DECATUR, GA 30030-3302
Phone number: 404-378-2300
Copy
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