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Organization

BRIDGEPOINT HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WENDY L ELGIN (DIRECTOR OF BUSINESS OPERATIONS)
(920) 458-5557
Entity
Organization

Contact information

Practice address
3425 SUPERIOR AVE, SHEBOYGAN, WI 53081-1863
(920) 458-5557
(920) 458-2692
Mailing address
PO BOX 387, SHEBOYGAN, WI 53082-0387
(920) 458-5557
(920) 458-2682

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1499
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42194800
WI
Enumeration date
08/31/2006
Last updated
08/22/2020
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