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Individual
BRENDAN MC DADE TEDRICK
Active
Individual
BRENDAN MC DADE TEDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2867536
NY
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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