Individual
MRS. HAZEL VALERIE BRIDGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2408 SPRUCE SHADOWS LN, RALEIGH, NC 27614-6904
(954) 793-7526
Mailing address
2408 SPRUCE SHADOWS LN, RALEIGH, NC 27614-6904
(954) 793-7526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C006405
NC
101YM0800X
Mental Health Counselor
SW8680
FL
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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