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Individual

KEITH BRADSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2730 S VAL VISTA DR, GILBERT, AZ 85295-1675
(480) 471-8560
(888) 979-8197
Mailing address
2730 S VAL VISTA DR, GILBERT, AZ 85295-1675
(480) 471-8560
(888) 979-8197

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-14027
AZ

Other

Enumeration date
05/01/2017
Last updated
05/01/2017
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