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Individual
BRIDGET LISA HEADY
Active
Individual
BRIDGET LISA HEADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
IMH 8633
FL
Other
Enumeration date
08/04/2012
Last updated
02/16/2018
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