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Individual
BRADLEY MILLMAN
Active
Individual
BRADLEY MILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
6301016839
MI
Other
Enumeration date
09/15/2016
Last updated
01/17/2019
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