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1851579585
WILLIAM DALE BRADFORD
SACATON, AZ
NPI
1851579585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ Lisac-10982)
Enumeration Date
2008-02-05
Last Update Date
2008-02-05
Business Address
-- WILLIAM DALE BRADFORD MA,LISAC
483 WEST SEEDFARM ROAD
SACATON, AZ 85247-0038
Phone number: 602-528-3321
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Mailing Address
-- WILLIAM DALE BRADFORD MA,LISAC
483 WEST SEEDFARM ROAD
SACATON, AZ 85247-0038
Phone number: 602-528-3321
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