Individual
MS. GERALDINE BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 STONE LION DR, DURHAM, NC 27703-6109
(910) 874-1456
Mailing address
202 STONE LION DR, DURHAM, NC 27703-6109
(910) 874-1456
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1161046
NC
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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