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1316978661
MAUREEN C. BRADSHAW
MANDEVILLE, LA
NPI
1316978661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA LAC363)
Enumeration Date
2006-07-05
Last Update Date
2007-07-08
Business Address
-- MAUREEN C. BRADSHAW LAC
23664 CARDINAL COVE
MANDEVILLE, LA 70448
Phone number: 985-624-4121
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Mailing Address
-- MAUREEN C. BRADSHAW LAC
PO BOX 1225
MANDEVILLE, LA 70470-1225
Phone number: 985-624-4121
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