Individual
BRIDGETTE N SOUTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
2702 FLUSHING RD, FLINT, MI 48504-4534
(810) 424-5998
(810) 424-6347
Mailing address
585 JEWETT RD, MASON, MI 48854-8729
(617) 833-8100
(517) 676-5207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801085378
MI
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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