MR. Bradley Deen Lanphere

NPI #1063532885 in Rockport, Maine

Provider Information

NPI Number: 1063532885
Entity Type: Individual
Name: MR. Bradley Deen Lanphere
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Mar 29, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 30 KIMBERLY DR.
City: Rockport
State: Maine
ZIP Code: 04856
Phone: (207) 596-7495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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