Organization
BRIDGEWAY LIFE DEVELOPMENT FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEE LONG-WASHINGTON (PRESIDENT)
(214) 945-0232
Entity
Organization
Contact information
Practice address
700 W MAIN ST STE 4, OVILLA, TX 75154-1618
(214) 945-0232
Mailing address
312 SABINE RIVER RD, GLENN HEIGHTS, TX 75154-5582
(214) 945-0232
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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