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Individual

MRS. BRIDGETTE MARIE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW, RPT

Contact information

Practice address
3644 RAINBOW DR, RAINBOW CITY, AL 35906-6313
(256) 613-2678
Mailing address
40 JIM ANGEL DR, JACKSONVILLE, AL 36265-6093
(256) 689-6331

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5590C
AL

Other

Enumeration date
07/10/2024
Last updated
01/10/2026
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