Individual
BRIDGET ELIZABETH GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LCSW
Contact information
Practice address
1636 N WELLS ST APT 3411, CHICAGO, IL 60614-6025
(616) 560-6701
Mailing address
1636 N WELLS ST APT 3411, CHICAGO, IL 60614-6025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149016258
IL
1041C0700X
Clinical Social Worker
Primary
6801089176
MI
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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