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1811262546
BRADLEY WALLACE ERLANDSON
CLARKSTON, MI
NPI
1811262546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401012906)
Enumeration Date
2012-03-13
Last Update Date
2012-03-13
Business Address
Mr. BRADLEY WALLACE ERLANDSON
5701 BOW POINTE DR
CLARKSTON, MI 48346-3198
Phone number: 248-241-6514
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Mailing Address
Mr. BRADLEY WALLACE ERLANDSON
5312 WILD DAISY CT
CLARKSTON, MI 48346-4984
Phone number: 248-318-5882
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