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Individual
BRADFORD SMITH
Active
Individual
BRADFORD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC III
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10R066
IA
101YA0400X
Addiction (Substance Use Disorder) Counselor
11462
WI
Other
Enumeration date
02/28/2006
Last updated
01/14/2014
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