Individual
BROOKE ABIGAIL RADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
380 FREEVILLE RD, FREEVILLE, NY 13068-9684
(315) 561-6982
Mailing address
380 FREEVILLE RD, FREEVILLE, NY 13068-9684
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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