Individual
LAURA BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8303 SIX FORKS RD STE 201, RALEIGH, NC 27615-3094
(804) 366-1023
Mailing address
208 FORESTWOOD DR, DURHAM, NC 27707-2236
(804) 366-1023
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/10/2022
Last updated
04/10/2022
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