Individual
GWENDOLYN N/A BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 BANCROFT AVE STE 125B, OAKLAND, CA 94605-2456
(510) 777-4246
Mailing address
7200 BANCROFT AVE STE 125B, OAKLAND, CA 94605-2456
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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