Individual
DESIREE BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 YOUREE DR, SHREVEPORT, LA 71101
(318) 675-0804
(318) 425-9030
Mailing address
3625 YOUREE DR, SHREVEPORT, LA 71105-2121
(318) 742-3408
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
10384
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/01/2016
Last updated
11/27/2018
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