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Individual

PRISCILLA BRIDGEWATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
T-LMFT

Contact information

Practice address
350 S BROADWAY AVE, WICHITA, KS 67202-4304
(316) 660-9600
(316) 660-9660
Mailing address
934 N WATER ST, WICHITA, KS 67203-3838
(316) 660-7600
(316) 941-5075

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2919
KS

Other

Enumeration date
11/07/2017
Last updated
11/07/2017
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