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Individual
MR. WALTER MATTHEW BRADLEY
Active
Individual
MR. WALTER MATTHEW BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00042626
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60048753
WA
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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