Organization
BENNETT BRIDGERS-CARLOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE BENNETT BRIDGERS-CARLOS LCSW (OWNER)
(828) 331-9928
Entity
Organization
Contact information
Practice address
91 UNIVERSITY AVE, SEWANEE, TN 37375-2265
(828) 331-9928
(931) 933-7766
Mailing address
111 PROCTORS HALL RD, SEWANEE, TN 37375-2006
(828) 331-9928
(931) 933-7766
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW5973
TN
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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