Individual
ELISABETH ANNE BRIDGEWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
720 8TH AVE S, SEATTLE, WA 98104-3032
(206) 788-3700
(206) 962-3297
Mailing address
PO BOX 3007, SEATTLE, WA 98114-3007
(206) 788-3700
(206) 652-5216
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW60356976
WA
1041C0700X
Clinical Social Worker
C007314
NC
1041C0700X
Clinical Social Worker
Primary
LW60356976
WA
Other
Enumeration date
10/04/2011
Last updated
03/19/2024
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