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1720254246
DOUGLAS BRADLEY
BROOKLYN, NY
NPI
1720254246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 12104)
Enumeration Date
2008-05-05
Last Update Date
2008-05-05
Business Address
Mr. DOUGLAS BRADLEY casac
26 COVERT ST APT 3R
BROOKLYN, NY 11207-1071
Phone number: 718-737-5675
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Mailing Address
Mr. DOUGLAS BRADLEY casac
26 COVERT ST APT 3R
BROOKLYN, NY 11207-1071
Phone number: 718-737-5675
Copy
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