Search › Georgia › 106H00000X
Susan Bradshaw, LCSW
NPI 1154339422 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3790 Old Us 41 N Ste A
Valdosta, GA 31602 - Phone
- (229) 262-1000
- Organisation at this address
- Southwell Ambulatory Inc
Legacy Counseling And Consulting, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 2704 N Oak St, Valdosta, GA
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia