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Individual

SHANTASIA BRIDGES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3511 GREYFRIAR DR, KILLEEN, TX 76542-6468
(737) 216-2742
Mailing address
3511 GREYFRIAR DR, KILLEEN, TX 76542-6468
(737) 216-2742

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
TX
324500000X
Substance Abuse Rehabilitation Facility
TX

Other

Enumeration date
12/02/2025
Last updated
12/02/2025
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