Individual
BRADLEY NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LISAC-11721
AZ
101YP2500X
Professional Counselor
Primary
LPC-10456
AZ
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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