Individual
GEORGIA CHRISTINE BRIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2810 ASHLEY PHOSPHATE RD STE B11, NORTH CHARLESTON, SC 29418-6406
(843) 813-1538
Mailing address
2810 ASHLEY PHOSPHATE RD STE B11, NORTH CHARLESTON, SC 29418-6406
(843) 813-1538
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-118213
SC
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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