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Individual

MARIANA ERIKA BRADSHAW

Active
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Individual

MARIANA ERIKA BRADSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33675
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
198206801
TX
01
87731A
BCBS
TX
01
P01076074
RR MEDICARE
TX
Enumeration date
10/07/2008
Last updated
02/27/2017
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