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Individual

MR. BRADLEY WALLACE ERLANDSON SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5755 N POINT PKWY STE 58, ALPHARETTA, GA 30022-1145
(678) 340-6788
Mailing address
5312 WILD DAISY CT, CLARKSTON, MI 48346-4984
(248) 318-5882

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008627
GA
101YM0800X
Mental Health Counselor
6401012906
MI

Other

Enumeration date
03/13/2012
Last updated
06/11/2025
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