Individual
BRITTANY BEARY PETHERBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR INTERN
Contact information
Practice address
379 FENNELL BLVD, LADY LAKE, FL 32159-3185
(352) 633-5253
Mailing address
379 FENNELL BLVD, LADY LAKE, FL 32159-3185
(352) 633-5253
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMH24462
FL
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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