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1255694808
KATRINA BRADSHAW
SAN LUIS OBISPO, CA
NPI
1255694808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2012-06-19
Last Update Date
2016-10-04
Business Address
Mrs. KATRINA BRADSHAW
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 480-335-4503
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Mailing Address
Mrs. KATRINA BRADSHAW
3765 S HIGUERA ST STE 100
SAN LUIS OBISPO, CA 93401-1577
Phone number:
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