Individual
BRIDGET VYBORNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
502 W 29TH ST, TUCSON, AZ 85713-3394
(520) 884-9920
Mailing address
504 W 29TH ST, TUCSON, AZ 85713-3353
(520) 884-9920
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 15493
AZ
Other
Enumeration date
03/26/2015
Last updated
10/26/2018
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