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Individual

BRADLEY KENT MOYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPC

Contact information

Practice address
121 N MAIN ST, SOUDERTON, PA 18964-1715
(267) 205-0996
Mailing address
PO BOX 27, PERKASIE, PA 18944-0027
(267) 205-0996

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC002560
PA

Other

Enumeration date
11/04/2009
Last updated
11/04/2009
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