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Individual
LYNDA BRADLEY
Active
Individual
LYNDA BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC007910
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100772109
—
PA
Enumeration date
04/02/2014
Last updated
06/13/2015
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