Individual
GINGER L BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PLPC
Contact information
Practice address
3401 BERRYWOOD DR, COLUMBIA, MO 65201-8372
(573) 777-8330
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2024038533
MO
Other
Enumeration date
09/04/2024
Last updated
09/26/2024
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