Individual
PATTI LYNN BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0522
Mailing address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0522
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SW003442
MO
104100000X
Social Worker
Primary
2011001081
MO
Other
Enumeration date
02/18/2011
Last updated
11/22/2023
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