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Organization
THE RIDGE
Active
Organization
THE RIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGETT L AUGUSTINO-WILKE M.A., PHD, CCJP (OWNER/EXECUTIVE DIRECTOR)
(615) 985-2424
Entity
Organization
Contact information
Practice address
514 HILL STREET, SPRINGFIELD, TN 37172
(615) 985-2424
(615) 645-7333
Mailing address
514 HILL STREET, SPRINGFIELD, TN 37172
(615) 985-2424
(615) 645-7333
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1509
VA
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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