Individual
BRADLEY ANTENORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW-CC
Contact information
Practice address
419 ALFRED ST, BIDDEFORD, ME 04005-3747
(207) 494-8010
Mailing address
419 ALFRED ST, BIDDEFORD, ME 04005-3747
(207) 494-8010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MC21491
ME
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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