Individual
BRIDGET MCGLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 HUGUENOT RD STE 100, MIDLOTHIAN, VA 23113-2438
(804) 924-7600
Mailing address
3108 VOYAGE DR, STAFFORD, VA 22554-2634
(540) 760-9194
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904017503
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30017540350001
—
VA
Enumeration date
10/28/2024
Last updated
10/28/2024
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