SAMUEL CODY BRADSHAW

SAN DIEGO, CA
NPI1770808024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2010-03-30
Last Update Date2010-03-30
Business Address
-- SAMUEL CODY BRADSHAW
9445 FARNHAM ST
SAN DIEGO, CA 92123-1308
Phone number: 858-380-4669
Mailing Address
-- SAMUEL CODY BRADSHAW
9445 FARNHAM ST
SAN DIEGO, CA 92123-1308
Phone number: 858-380-4669
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