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Individual

BRADLEY J DEXTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
5650 N GREEN BAY AVE STE 205, GLENDALE, WI 53209-4446
(773) 425-8823
Mailing address
5650 N GREEN BAY AVE STE 205, GLENDALE, WI 53209-4446
(608) 286-2844

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10833-125
WI
101YP2500X
Professional Counselor
Primary
10833-125
WI

Other

Enumeration date
05/05/2022
Last updated
02/19/2024
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