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MR. STEPHEN ERIC BRADBERY

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1730755851

Individual Registrant:
MR. STEPHEN ERIC BRADBERY 
Gender: M
Sole Proprietor

Location and contact information for practice:
12140 NW 77TH MNR  PARKLAND, FL 33076-4516 US
Tel: 954-294-3758  Fax: --

Contact information for business:
12140 NW 77TH MNR  PARKLAND, FL 33076-4516 US
Tel: 954-294-3758  Fax: --

Registration Information:
NPI: 1730755851
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
FLMH19287

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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