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1619691235
BRAD ILLIAN
CONCORD, NH
NPI
1619691235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-09-27
Last Update Date
2024-06-28
Business Address
BRAD ILLIAN MA, MLADC
112 S STATE ST
CONCORD, NH 03301-3528
Phone number: 603-998-4210
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Mailing Address
BRAD ILLIAN MA, MLADC
112 S STATE ST
CONCORD, NH 03301-3528
Phone number:
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