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Individual

KELLY KATHLEEN BRIDGES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PLPC

Contact information

Practice address
2456 E MADRID AVE, SPRINGFIELD, MO 65804-1884
(417) 413-1682
Mailing address
1323 E MEADOWMERE ST, SPRINGFIELD, MO 65804-0239
(417) 848-5716

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2023005840
MO

Other

Enumeration date
07/10/2023
Last updated
07/10/2023
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