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1255782496
MICHAEL BRADSHAW
SHERMAN OAKS, CA
NPI
1255782496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 156042 I)
Enumeration Date
2016-06-29
Last Update Date
2016-06-29
Business Address
MICHAEL BRADSHAW
4650 KESTER AVE APT 101
SHERMAN OAKS, CA 91403-2533
Phone number: 818-723-9403
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Mailing Address
MICHAEL BRADSHAW
4650 KESTER AVE APT 101
SHERMAN OAKS, CA 91403-2533
Phone number: 818-723-9403
Copy
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