Individual
BRIDGET SHIVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8624 PRINGLE DR, CINCINNATI, OH 45231-4918
(513) 225-3798
Mailing address
8624 PRINGLE DR, CINCINNATI, OH 45231-4918
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S1302857
OH
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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