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Individual

VIRGINIA A. BRIDGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1406 BEATTIES FORD RD, CHARLOTTE, NC 28216-4550
(704) 910-1807
Mailing address
4404 SPRING BRANCH CT, CHARLOTTE, NC 28227-5948

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCAS
NC
101YP2500X
Professional Counselor
9110
NC

Other

Enumeration date
06/09/2008
Last updated
11/24/2014
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