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1053138404
MIJA BRADSHAW
LACEY, WA
NPI
1053138404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA 00003745)
Enumeration Date
2024-09-25
Last Update Date
2024-09-25
Business Address
MIJA BRADSHAW SUDP
3925 8TH AVE SE STE A
LACEY, WA 98503-1122
Phone number: 360-923-9585
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Mailing Address
MIJA BRADSHAW SUDP
3925 8TH AVE SE STE A
LACEY, WA 98503-1122
Phone number: 360-923-9585
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