Individual
BRIDGETTE NICOLE COSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1600 ALDERSGATE RD, SUITE 200, LITTLE ROCK, AR 72205-6614
(501) 661-0720
Mailing address
1311 STONE ST, JONESBORO, AR 72401-4523
(870) 932-6505
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2698-B
AR
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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