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NPI Profile for SUSAN M BRADFORD in WILLISTON, ND.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1285072710 |
|
| Status | Active | |
| Credentials | LPC (Licensed Professional Counselor) | |
| Entity | Individual | |
| Enumeration date | 06/06/2013 | |
| Last updated | 06/06/2013 - About 13 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SUSAN M BRADFORD
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SUSAN M BRADFORD, LPC