Individual
TASHA A BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17515 W 9 MILE RD STE 240, SOUTHFIELD, MI 48075-4423
(248) 579-2188
Mailing address
29235 KENSINGTON CT., SOUTHFIELD, MI 48076
(248) 259-5276
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451016555
MI
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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