Individual
JACQUELINE MARIE BRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 S 76TH ST, MILWAUKEE, WI 53214-1599
(414) 453-1400
Mailing address
4225 BROOK LN, BROOKFIELD, WI 53005-1454
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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