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Individual
MR. BRAD M SEWALL
Active
Individual
MR. BRAD M SEWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LCMHC RN
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0000560
VT
163W00000X
Registered Nurse
026.0067516
VT
163W00000X
Registered Nurse
064206-21
NH
Other
Enumeration date
11/21/2006
Last updated
11/21/2022
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