Individual
MRS. LULA BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW, SAP, CCAP
Contact information
Practice address
366 E MAIN ST, NOTASULGA, AL 36866-2572
(334) 318-5108
Mailing address
366 E MAIN ST, NOTASULGA, AL 36866-2572
(334) 318-5108
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2191B
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508005836
—
AL
Enumeration date
12/01/2009
Last updated
12/01/2009
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