CARL BRADFORD

WAUKEGAN, IL
NPI1760756605
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-02-23
Last Update Date2012-02-23
Business Address
-- CARL BRADFORD
3004 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8197
Mailing Address
-- CARL BRADFORD
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number:
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