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MR. STEPHEN ERIC BRADBERY
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1730755851
Individual Registrant:MR. STEPHEN ERIC BRADBERY
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
12140 NW 77TH MNR PARKLAND, FL 33076-4516 US
Tel: 954-294-3758 Fax: --
Tel: 954-294-3758 Fax: --
Contact information for business:
12140 NW 77TH MNR PARKLAND, FL 33076-4516 US
Tel: 954-294-3758 Fax: --
Tel: 954-294-3758 Fax: --
Registration Information:
NPI: 1730755851
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | FL | MH19287 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
