Individual
BRIDGETTE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 WASHINGTON STREET, MANSFIELD, LA 71052
(318) 872-0262
Mailing address
419 WASHINGTON STREET, SHREVEPORT, LA 71052
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
LA
Enumeration date
11/02/2017
Last updated
11/02/2017
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