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Individual
MARK L BRADBURY
Active
Individual
MARK L BRADBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMFTA
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT.LF.70153041
WA
106H00000X
Marriage & Family Therapist
Primary
MG61552309
WA
Other
Enumeration date
05/01/2023
Last updated
09/19/2026
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