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Individual

BRIDGGETTE L HAMBRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BHRS

Contact information

Practice address
715 N 1ST AVE, DURANT, OK 74701-3801
(580) 931-3008
(580) 931-8022
Mailing address
121 MARKET ST, CADDO, OK 74729-4201

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200049040
OK
Enumeration date
11/07/2011
Last updated
11/07/2011
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