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Individual

BRIDGET R PETTIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS LMHP

Contact information

Practice address
110 N BAILEY, NORTH PLATTE, NE 69103
(308) 534-6029
(308) 534-6961
Mailing address
PO BOX 1209, 110 N BAILEY, NORTH PLATTE, NE 69103
(308) 534-6029
(308) 534-6961

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2518
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
248453
MIDLANDS CHOICE
01
84483
BCBS
Enumeration date
07/25/2006
Last updated
07/08/2007
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