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Individual

JORDYN BRADSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1200 BROOKSTONE CENTRE PKWY STE 226, COLUMBUS, GA 31904-2988
(706) 653-2889
(706) 494-8220
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
104100000X
Social Worker
Primary
6851116889
MI
1041C0700X
Clinical Social Worker
Primary
CSW010238
GA

Other

Enumeration date
01/19/2022
Last updated
05/01/2026
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