Individual
PIA S. BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(770) 339-2395
(678) 990-3997
Mailing address
2040 WHARTON DR, AUGUSTA, GA 30904-5084
(678) 523-2966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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