Individual
MR. GERALD KEITH BROTHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.I.S.W.
Contact information
Practice address
1616 E WOOSTER ST, SUITE 24, BOWLING GREEN, OH 43402-3478
(419) 352-4624
(419) 354-1774
Mailing address
1 STRANAHAN SQ, SUITE 414, TOLEDO, OH 43604-1447
(419) 244-5511
(419) 321-6459
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-0008931
OH
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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