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Individual
BRAD DEROMA
Active
Individual
BRAD DEROMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LIAC-155343
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
07/27/2021
Last updated
10/23/2024
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