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Individual
BRADLEY THOMAS BROWN
Active
Individual
BRADLEY THOMAS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1332
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21466
BCBS
ND
01
—
412781020163
PREFERRED ONE
—
Enumeration date
09/28/2006
Last updated
10/23/2014
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