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1730378860
RANDALL S BRADDOCK
UNIVERSAL CITY, TX
NPI
1730378860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 06984)
Enumeration Date
2007-10-15
Last Update Date
2019-09-24
Business Address
RANDALL S BRADDOCK MA, LPC
433 KITTY HAWK RD STE 219
UNIVERSAL CITY, TX 78148-3829
Phone number: 210-566-1280
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Mailing Address
RANDALL S BRADDOCK MA, LPC
433 KITTY HAWK RD STE 219
UNIVERSAL CITY, TX 78148-3829
Phone number: 210-566-1280
Copy
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