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Organization

BRIDGE FOR THE LIFE HEALTH SERVICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MABEL PEREGRIN DELGADO (MBR)
(786) 290-8195
Entity
Organization

Contact information

Practice address
9405 CYPRESS LAKE DR STE 2, FORT MYERS, FL 33919-0909
(786) 290-8195
Mailing address
9405 CYPRESS LAKE DR STE 2, FORT MYERS, FL 33919-0909
(786) 290-8195

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/11/2021
Last updated
08/11/2021
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