Individual
BRIDGET LOUISE MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
22776 THREE NOTCH RD STE 102, LEXINGTON PARK, MD 20653-3369
(301) 880-4833
(301) 760-3472
Mailing address
11725 LONG SHADOW LN, LUSBY, MD 20657-2421
(410) 960-2781
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18001
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18001
BOARD OF SOCIAL WORK EXAMINERS
MD
Enumeration date
09/08/2018
Last updated
09/08/2018
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