Individual
KISHA REGINA BRIDGES-WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 IRVING ST NW, WASHINGTON, DC 20010-2850
(202) 230-2657
Mailing address
1400 IRVING ST NW, WASHINGTON, DC 20010-2850
(202) 230-2657
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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