Individual
MICIAH BIDGELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3253 23RD ST SE, WASHINGTON, DC 20020-2041
(470) 860-1663
Mailing address
3253 23RD ST SE, WASHINGTON, DC 20020-2041
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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