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Individual

ADINA BRIDGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4350 FOWLER ST, FORT MYERS, FL 33901-2699
(941) 565-7132
Mailing address
391 6TH AVE W, BRADENTON, FL 34205-8820
(941) 782-4299
(941) 782-4301

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW16688
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SW16688
STATE LICENSE
FL
Enumeration date
09/26/2019
Last updated
09/26/2019
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