Individual
BRIDGET R STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4516 RIVER OVERLOOK DR, VALRICO, FL 33596-7825
(904) 201-9774
Mailing address
4516 RIVER OVERLOOK DR, VALRICO, FL 33596-7825
(904) 201-9774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH20533
FL
Other
Enumeration date
02/14/2018
Last updated
06/26/2022
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