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Individual

BRIDGETTE LEVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-IT; AT-P

Contact information

Practice address
6333 ODANA RD STE 20, MADISON, WI 53719-1130
(608) 270-2511
Mailing address
130 RIVER ST, BELLEVILLE, WI 53508-9702
(315) 664-2200

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
WI

Other

Enumeration date
01/07/2020
Last updated
01/07/2020
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