Individual
LOIS MARGARET BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8140 N MOPAC EXPY STE 200, AUSTIN, TX 78759-8837
(512) 469-0889
Mailing address
207 PRECIPICE WAY, GEORGETOWN, TX 78626-8162
(815) 761-0431
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
78444
TX
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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