Individual
MRS. BRIDGET D ETHEREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 FAISON DR, COLUMBIA, SC 29203-3210
(803) 935-7143
Mailing address
220 FAISON DR, COLUMBIA, SC 29203-3210
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
SC
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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