Organization
FAMILY BRIDGES THERAPEUTIC ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J MANGIN MED (OFFICE MANAGER)
(843) 240-1781
Entity
Organization
Contact information
Practice address
635 S HAZARD ST, GEORGETOWN, SC 29440-4728
(843) 249-1781
(360) 364-3499
Mailing address
635 S HAZARD ST, GEORGETOWN, SC 29440-4728
(843) 240-1781
(888) 282-6745
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/01/2006
Last updated
06/13/2010
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