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1578740395
CONSUELO M BRADFORD-JACKSON
ANTIOCH, CA
NPI
1578740395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-01-23
Last Update Date
2022-08-12
Business Address
Mrs. CONSUELO M BRADFORD-JACKSON
5119 LONE TREE WAY
ANTIOCH, CA 94531-8484
Phone number: 415-762-3700
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Mailing Address
Mrs. CONSUELO M BRADFORD-JACKSON
1563 MISSION ST
SAN FRANCISCO, CA 94103-2543
Phone number: 415-762-3700
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