Individual
MS. JUDITH ANNE BRIDGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
741 W TYROLEAN CT, CANON CITY, CO 81212-4393
(719) 275-7916
(719) 275-4209
Mailing address
741 W TYROLEAN CT, CANON CITY, CO 81212-4393
(719) 275-7916
(719) 275-4209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
991266
CO
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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