Individual
BRIDGETTE DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
926 W 5TH ST, RIVIERA BEACH, FL 33404-7410
(561) 889-1400
Mailing address
926 W 5TH ST, RIVIERA BEACH, FL 33404-7410
(561) 889-1400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
FL
222Q00000X
Developmental Therapist
—
FL
Other
Enumeration date
06/11/2010
Last updated
04/07/2011
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