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1104241975
BRADFORD COLEMAN
VALDOSTA, GA
NPI
1104241975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC010091)
Enumeration Date
2014-03-03
Last Update Date
2019-07-09
Business Address
BRADFORD COLEMAN
1805 GREEN CIR
VALDOSTA, GA 31602-2734
Phone number: 229-415-7621
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Mailing Address
BRADFORD COLEMAN
1805 GREEN CIR
VALDOSTA, GA 31602-2734
Phone number: 229-415-7621
Copy
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