Individual
BRIDGETTE SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW 753 12/20/2025
Contact information
Practice address
303 S FIRST ST, GALLUP, NM 87301-6211
(505) 413-3447
Mailing address
303 S FIRST ST, GALLUP, NM 87301-6211
(505) 387-0334
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
753
NM
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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