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1154339422
SUSAN L BRADSHAW
VALDOSTA, GA
NPI
1154339422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: GA 000865)
Enumeration Date
2006-08-03
Last Update Date
2024-03-04
Business Address
SUSAN L BRADSHAW LCSW
3790 OLD US 41 N STE A
VALDOSTA, GA 31602-6865
Phone number: 229-262-1000
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Mailing Address
SUSAN L BRADSHAW LCSW
2704 N OAK ST BUILDING B-3
VALDOSTA, GA 31602-1744
Phone number: 229-257-0100
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