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1912058066
JOHN W BRADNER
VERNON, CT
NPI
1912058066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 00756)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
Mr. JOHN W BRADNER LADC
933 HARTFORD TURNPIKE
VERNON, CT 06066
Phone number: 860-872-7696
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Mailing Address
Mr. JOHN W BRADNER LADC
26 CONGRESS STREET APT 405
HARTFORD, CT 06114
Phone number: 860-216-0161
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