Organization
BUILDING A BRIDGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE CLEVELAND LCSW (PRESIDENT)
(334) 702-7222
Entity
Organization
Contact information
Practice address
101 MEDICAL DR, DOTHAN, AL 36303-6903
(334) 702-7222
(334) 702-1944
Mailing address
101 MEDICAL DR, DOTHAN, AL 36303-6903
(334) 702-7222
(334) 702-1944
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3655C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043519739
—
AL
Enumeration date
06/02/2014
Last updated
06/02/2014
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