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Individual

MS. BRIDGET COLLEEN CRIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
3518 W 25TH ST, CLEVELAND, OH 44109-1951
(440) 252-2805
Mailing address
1294 GLADYS AVE, LAKEWOOD, OH 44107-2510
(440) 252-2805

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2002114
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2999864
OH
Enumeration date
02/20/2018
Last updated
05/05/2020
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