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1366605941
JUANITA BRADLEY
COLUMBUS, GA
NPI
1366605941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2008-07-03
Last Update Date
2008-07-03
Business Address
JUANITA BRADLEY
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-596-5583
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Mailing Address
JUANITA BRADLEY
2717 FOUNTAIN RIDGE RD
SHELLMAN, GA 39886
Phone number: 229-679-5852
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