Individual
MRS. KIMBERLY MICHELLE BRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 MAIN ST STE G, EAST HARTFORD, CT 06118-3239
(888) 754-0398
Mailing address
15 WALLOP SCHOOL RD, ENFIELD, CT 06082-5725
(860) 878-2956
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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