Individual
BRIDGET W MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 E HIGH ST, CHARLOTTESVILLE, VA 22902-5126
(443) 949-6869
Mailing address
1719 BELVEDERE PL, CHARLOTTESVILLE, VA 22901-3243
(443) 949-6869
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904012846
VA
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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