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Individual

DEJAH BRADSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5361 NW 22ND AVE, MIAMI, FL 33142-8035
(305) 637-6400
Mailing address
3000 NW 187TH ST, MIAMI GARDENS, FL 33056-3015
(786) 237-8174

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
B632161957910
FL
Enumeration date
02/02/2021
Last updated
02/02/2021
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