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1053581520
DONNA MARIE BRADSHAW BRUBAKER
FORT STEWART, GA
NPI
1053581520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: VA 0904005244)
Enumeration Date
2008-03-11
Last Update Date
2016-06-08
Business Address
MS. DONNA MARIE BRADSHAW BRUBAKER LCSW
1061 HARMON AVE
FORT STEWART, GA 31314-5674
Phone number: 912-435-1342
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Mailing Address
MS. DONNA MARIE BRADSHAW BRUBAKER LCSW
1061 HARMON AVE
FORT STEWART, GA 31314-5674
Phone number: 912-435-1342
Copy
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