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1659842086
BRAD RICHARD ALLEN
SAULT SAINTE MARIE, MI
NPI
1659842086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-12-11
Last Update Date
2018-12-11
Business Address
BRAD RICHARD ALLEN
301 E SPRUCE ST
SAULT SAINTE MARIE, MI 49783-2134
Phone number: 906-635-5542
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Mailing Address
BRAD RICHARD ALLEN
97 S 4TH ST STE C
ISHPEMING, MI 49849-2168
Phone number: 906-228-9699
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