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Individual

VERONICA BRIDGES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,CSAYC

Contact information

Practice address
1525 N RITTER AVE, INDIANAPOLIS, IN 46219-3026
(317) 322-4094
Mailing address
2110 SHORELAND DR APT C, INDIANAPOLIS, IN 46229-3309
(317) 414-3508

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
350868123
IN

Other

Enumeration date
01/18/2011
Last updated
01/18/2011
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