Individual
MRS. RONDOL BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 616-9915
Mailing address
7431 SLIPPERY ELM ST, SAN ANTONIO, TX 78240-3717
(210) 256-1423
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
55697
TX
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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