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Individual

BRADLEY JAMES WHISTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3225 HOSPITAL DR UNIT 202, JUNEAU, AK 99801-7863
(907) 500-7456
Mailing address
3225 HOSPITAL DR UNIT 202, JUNEAU, AK 99801-7863
(907) 500-7456
(907) 500-7457

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1637435
AK
Enumeration date
02/20/2019
Last updated
02/20/2019
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Product
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