Individual
MR. CLEMMON BRIDGES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 E COLLEGE AVE APT 33, GUTHRIE, OK 73044-4541
(214) 552-0356
Mailing address
1720 E COLLEGE AVE APT 33, GUTHRIE, OK 73044-4541
(214) 552-0356
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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