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1639922487
BRADLEY WAYNE SHELTON
LOUISA, KY
NPI
1639922487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 290092)
Enumeration Date
2024-04-10
Last Update Date
2024-05-13
Business Address
Mr. BRADLEY WAYNE SHELTON LCADC
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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Mailing Address
Mr. BRADLEY WAYNE SHELTON LCADC
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Copy
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