Individual
MRS. BRIDGETTE MARIE FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8301 W MCNAB RD, TAMARAC, FL 33321-3206
(954) 771-2091
(754) 205-2161
Mailing address
19380 COLLINS AVE APT 510, SUNNY ISLES BEACH, FL 33160-2235
(786) 253-1402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH17387
FL
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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