Individual
ANTONIA LASHAY BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5311 N 47TH AVE, OMAHA, NE 68104-1405
(402) 609-8978
Mailing address
5311 N 47TH AVE, OMAHA, NE 68104-1405
(402) 707-6574
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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