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1639823230
KEVIN E BRADT
ROSEVILLE, MN
NPI
1639823230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 303830)
Enumeration Date
2022-02-11
Last Update Date
2022-02-11
Business Address
KEVIN E BRADT LADC
2680 SNELLING AVE N STE 200
ROSEVILLE, MN 55113-1879
Phone number: 651-364-9381
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Mailing Address
KEVIN E BRADT LADC
1171 BROOKS AVE W
ROSEVILLE, MN 55113-3202
Phone number: 612-804-8602
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