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Individual

MR. BRADLEY A LARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, CAC I

Contact information

Practice address
6379 DIXIE HWY, BRIDGEPORT, MI 48722-9566
(989) 777-4357
(989) 777-7257
Mailing address
2917 WYNES ST, SAGINAW, MI 48602-3752
(989) 249-4966

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
03/02/2007
Last updated
07/08/2007
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