Individual
MRS. ALICIA G BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MFTI
Contact information
Practice address
7111 LEE HWY, CHATTANOOGA, TN 37421-6706
(423) 402-8256
Mailing address
204 BROOKWOOD DR, CHATTANOOGA, TN 37411-1803
(423) 402-8256
(423) 541-4148
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1511
TN
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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