BRAD DEROMA

PHOENIX, AZ
NPI1902579998
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-07-27
Last Update Date2021-07-27
Business Address
BRAD DEROMA
15815 S LAKEWOOD PKWY W APT 2016
PHOENIX, AZ 85048-7291
Phone number: 760-613-6861
Mailing Address
BRAD DEROMA
15815 S LAKEWOOD PKWY W APT 2016
PHOENIX, AZ 85048-7291
Phone number: 760-613-6861
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