Organization
BRIDGEWAY WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATANYA DUNCAN MA (CO-OWNER/CLINICIAN)
(617) 905-8183
Entity
Organization
Contact information
Practice address
350 LINCOLN ST STE 2400, HINGHAM, MA 02043-1579
(617) 446-3705
Mailing address
350 LINCOLN ST STE 2400, HINGHAM, MA 02043-1579
(617) 446-3705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/13/2020
Last updated
03/29/2022
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