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Individual
JAMIE BRADFORD
Active
Individual
JAMIE BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-20-193
OR
247000000X
Health Information Technician
—
OR
Other
Enumeration date
04/23/2020
Last updated
06/30/2020
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