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Individual
PATRICIA BRADBURY
Active
Individual
PATRICIA BRADBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, MLADC, CAGS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0906
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
MLADC
NH
Other
Enumeration date
01/09/2015
Last updated
03/17/2018
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