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1982750493
BRADLEY HANNAH
PRESTONSBURG, KY
NPI
1982750493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
BRADLEY HANNAH CNSA
1416 S LAKE DR
PRESTONSBURG, KY 41653-1353
Phone number: 606-886-7839
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Mailing Address
BRADLEY HANNAH CNSA
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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