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1851680326
KENNETH J BRADY
MEDFORD, MA
NPI
1851680326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-04-05
Last Update Date
2011-04-05
Business Address
-- KENNETH J BRADY LADC I,CADAC II
30 GUILD ST
MEDFORD, MA 02155-1207
Phone number: 617-633-1851
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Mailing Address
-- KENNETH J BRADY LADC I,CADAC II
30 GUILD ST
MEDFORD, MA 02155-1207
Phone number: 617-633-1851
Copy
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