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Individual
JAMES HENRY BRADLEY
Active
Individual
JAMES HENRY BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60344318
WA
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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