Individual
ALICIA NICOLE BRIDEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1994 MADISON RD, CINCINNATI, OH 45208-3217
(513) 614-5530
Mailing address
1994 MADISON RD, CINCINNATI, OH 45208-3217
(513) 641-5530
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846559
—
OH
Enumeration date
08/29/2019
Last updated
10/12/2020
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